| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,071.52 | $1,412.54 | $2,344.23 | |
Cigna
| Facility | $2,570.40 | $2,570.40 | $2,570.40 | |
Cigna
| Professional | $1,513.56 | $1,513.56 | $1,513.56 | |
MVP Health Care
| Facility | $1,513.56 | $1,513.56 | $1,513.56 | |
MVP Health Care
| Professional | $1,513.56 | $1,513.56 | $1,513.56 | |
United
| Professional | $660.69 | $912.01 | $3,548.13 |