| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,268.00 | $4,017.60 | $4,017.60 | |
Cigna
| Facility | $5,422.95 | $5,422.95 | $5,422.95 | |
MVP Health Care
| Facility | $5,422.95 | $5,422.95 | $5,422.95 | |
MVP Health Care
| Professional | $2,106.00 | $2,106.00 | $2,106.00 | |
United
| Professional | $1,415.23 | $3,240.00 | $14,580.00 |