| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,802.26 | $3,192.57 | $3,192.57 | |
Cigna
| Facility | $4,309.31 | $4,309.31 | $4,309.31 | |
MVP Health Care
| Facility | $4,309.31 | $4,309.31 | $4,309.31 | |
MVP Health Care
| Professional | $1,673.52 | $1,673.52 | $1,673.52 | |
United
| Professional | $1,124.60 | $2,574.65 | $5,948.47 |