| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,228.50 | $2,176.19 | $2,176.19 | |
Cigna
| Facility | $2,937.43 | $2,937.43 | $2,937.43 | |
MVP Health Care
| Facility | $2,937.43 | $2,937.43 | $2,937.43 | |
MVP Health Care
| Professional | $1,140.75 | $1,140.75 | $1,140.75 | |
United
| Professional | $766.58 | $1,950.00 | $7,897.50 |