| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,063.33 | $1,883.63 | $1,883.63 | |
Cigna
| Facility | $2,542.53 | $2,542.53 | $2,542.53 | |
MVP Health Care
| Facility | $2,542.53 | $2,542.53 | $2,542.53 | |
MVP Health Care
| Professional | $987.39 | $987.39 | $987.39 | |
United
| Professional | $663.53 | $1,519.06 | $6,835.77 |