| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,819.70 | $2,398.83 | $3,162.28 | |
Cigna
| Facility | $4,265.80 | $4,265.80 | $4,265.80 | |
Cigna
| Professional | $2,570.40 | $2,570.40 | $2,570.40 | |
MVP Health Care
| Facility | $2,570.40 | $2,570.40 | $2,570.40 | |
MVP Health Care
| Professional | $2,570.40 | $2,570.40 | $2,570.40 | |
United
| Professional | $1,122.02 | $1,548.82 | $5,888.44 |