| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,488.34 | $2,636.49 | $2,636.49 | |
Cigna
| Facility | $3,558.73 | $3,558.73 | $3,558.73 | |
MVP Health Care
| Facility | $3,558.73 | $3,558.73 | $3,558.73 | |
MVP Health Care
| Professional | $1,382.03 | $1,382.03 | $1,382.03 | |
United
| Professional | $893.00 | $2,126.19 | $4,912.37 |