| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $588.84 | $4,677.35 | $6,760.83 | |
Cigna
| Facility | $9,120.11 | $9,120.11 | $9,120.11 | |
Cigna
| Professional | $5,495.41 | $5,495.41 | $5,495.41 | |
MVP Health Care
| Facility | $5,495.41 | $5,495.41 | $5,495.41 | |
MVP Health Care
| Professional | $5,495.41 | $5,495.41 | $5,495.41 | |
United
| Professional | $2,398.83 | $3,311.31 | $12,589.25 |