| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,356.61 | $2,403.13 | $2,403.13 | |
Cigna
| Facility | $3,243.75 | $3,243.75 | $3,243.75 | |
MVP Health Care
| Facility | $3,243.75 | $3,243.75 | $3,243.75 | |
MVP Health Care
| Professional | $1,259.71 | $1,259.71 | $1,259.71 | |
United
| Professional | $846.52 | $1,938.01 | $4,477.58 |