| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,666.54 | $2,666.54 | $2,666.54 | |
Cigna
| Facility | $12,690.71 | $12,690.71 | $12,690.71 | |
MVP Health Care
| Facility | $12,690.71 | $12,690.71 | $12,690.71 | |
MVP Health Care
| Professional | $4,928.43 | $4,928.43 | $4,928.43 | |
United
| Professional | $3,311.90 | $7,582.20 | $34,119.90 |