| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5,918.50 | $10,484.20 | $10,484.20 | |
Cigna
| Facility | $14,151.56 | $14,151.56 | $14,151.56 | |
MVP Health Care
| Facility | $14,151.56 | $14,151.56 | $14,151.56 | |
MVP Health Care
| Professional | $5,495.75 | $5,495.75 | $5,495.75 | |
United
| Professional | $1,605.24 | $3,675.00 | $19,534.43 |