| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $5,891.60 | $5,891.60 | $5,891.60 | |
Cigna
| Professional | $4,044.92 | $4,044.92 | $5,056.14 | |
MVP Health Care
| Facility | $5,891.60 | $5,891.60 | $5,891.60 | |
MVP Health Care
| Professional | $2,288.00 | $4,044.92 | $5,056.14 | |
United
| Professional | $1,537.54 | $2,112.00 | $4,928.00 |