| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,595.30 | $2,825.96 | $2,825.96 | |
Cigna
| Facility | $3,814.48 | $3,814.48 | $3,814.48 | |
MVP Health Care
| Facility | $3,814.48 | $3,814.48 | $3,814.48 | |
MVP Health Care
| Professional | $1,481.35 | $1,481.35 | $1,481.35 | |
United
| Professional | $995.47 | $2,633.16 | $10,255.50 |