| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $455.43 | $455.43 | $455.43 | |
Cigna
| Facility | $4,608.25 | $4,608.25 | $4,608.25 | |
MVP Health Care
| Facility | $4,608.25 | $4,608.25 | $4,608.25 | |
MVP Health Care
| Professional | $1,789.61 | $1,789.61 | $1,789.61 | |
United
| Professional | $1,202.61 | $2,753.25 | $12,389.63 |