| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $4,881.66 | $4,881.66 | $4,881.66 | |
MVP Health Care
| Facility | $4,881.66 | $4,881.66 | $4,881.66 | |
MVP Health Care
| Professional | $1,895.79 | $1,895.79 | $1,895.79 | |
United
| Professional | $1,273.97 | $2,916.60 | $13,124.70 |