| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,538.85 | $2,725.95 | $2,725.95 | |
Cigna
| Facility | $3,679.49 | $3,679.49 | $3,679.49 | |
MVP Health Care
| Facility | $3,679.49 | $3,679.49 | $3,679.49 | |
MVP Health Care
| Professional | $1,428.93 | $1,428.93 | $1,428.93 | |
United
| Professional | $960.24 | $2,198.35 | $9,892.58 |