| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,711.10 | $4,802.52 | $4,802.52 | |
Cigna
| Facility | $6,482.43 | $6,482.43 | $6,482.43 | |
MVP Health Care
| Facility | $6,482.43 | $6,482.43 | $6,482.43 | |
MVP Health Care
| Professional | $2,517.44 | $2,517.44 | $2,517.44 | |
United
| Professional | $1,691.73 | $3,873.00 | $17,428.50 |