| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,121.00 | $3,757.20 | $3,757.20 | |
Cigna
| Facility | $5,071.46 | $5,071.46 | $5,071.46 | |
MVP Health Care
| Facility | $5,071.46 | $5,071.46 | $5,071.46 | |
MVP Health Care
| Professional | $1,969.50 | $1,969.50 | $1,969.50 | |
United
| Professional | $1,323.50 | $3,030.00 | $13,635.00 |