| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,450.00 | $4,340.00 | $4,340.00 | |
Cigna
| Facility | $5,858.13 | $5,858.13 | $5,858.13 | |
MVP Health Care
| Facility | $5,858.13 | $5,858.13 | $5,858.13 | |
MVP Health Care
| Professional | $2,275.00 | $2,275.00 | $2,275.00 | |
United
| Professional | $1,528.80 | $3,500.00 | $15,750.00 |