| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,132.07 | $1,132.07 | $1,132.07 | |
MVP Health Care
| Facility | $1,132.07 | $1,132.07 | $1,132.07 | |
MVP Health Care
| Professional | $439.64 | $439.64 | $439.64 | |
United
| Professional | $295.44 | $677.38 | $3,043.67 |