| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $14.13 | $2,290.87 | $3,388.44 | |
Cigna
| Facility | $4,570.88 | $4,570.88 | $4,570.88 | |
Cigna
| Professional | $2,691.53 | $2,691.53 | $2,691.53 | |
MVP Health Care
| Facility | $2,691.53 | $2,691.53 | $2,691.53 | |
MVP Health Care
| Professional | $2,691.53 | $2,691.53 | $2,691.53 | |
United
| Professional | $1,174.90 | $1,621.81 | $6,309.57 |