| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,075.91 | $1,905.90 | $1,905.90 | |
Cigna
| Facility | $2,572.58 | $2,572.58 | $2,572.58 | |
MVP Health Care
| Facility | $2,572.58 | $2,572.58 | $2,572.58 | |
MVP Health Care
| Professional | $999.06 | $999.06 | $999.06 | |
United
| Professional | $671.37 | $1,537.02 | $6,916.59 |