| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3,832.64 | $6,789.25 | $6,789.25 | |
Cigna
| Facility | $9,164.12 | $9,164.12 | $9,164.12 | |
MVP Health Care
| Facility | $9,164.12 | $9,164.12 | $9,164.12 | |
MVP Health Care
| Professional | $3,558.88 | $3,558.88 | $3,558.88 | |
United
| Professional | $2,391.57 | $5,475.20 | $24,638.40 |