| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,937.43 | $2,937.43 | $2,937.43 | |
MVP Health Care
| Facility | $2,937.43 | $2,937.43 | $2,937.43 | |
MVP Health Care
| Professional | $1,140.75 | $1,140.75 | $1,140.75 | |
United
| Professional | $737.10 | $1,950.00 | $4,054.75 |