| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $2,918.94 | $2,918.94 | $2,918.94 | |
MVP Health Care
| Facility | $2,918.94 | $2,918.94 | $2,918.94 | |
MVP Health Care
| Professional | $1,133.57 | $1,133.57 | $1,133.57 | |
United
| Professional | $488.33 | $1,533.58 | $7,847.78 |