| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3,346.00 | $5,927.20 | $5,927.20 | |
Cigna
| Facility | $8,000.53 | $8,000.53 | $8,000.53 | |
MVP Health Care
| Facility | $8,000.53 | $8,000.53 | $8,000.53 | |
MVP Health Care
| Professional | $3,107.00 | $3,107.00 | $3,107.00 | |
United
| Professional | $2,087.90 | $4,780.00 | $21,510.00 |