| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $477.00 | $477.00 | $477.00 | |
Cigna
| Facility | $5,288.07 | $5,288.07 | $5,288.07 | |
MVP Health Care
| Facility | $5,288.07 | $5,288.07 | $5,288.07 | |
MVP Health Care
| Professional | $2,053.62 | $2,053.62 | $2,053.62 | |
United
| Professional | $1,380.03 | $3,159.42 | $14,217.39 |