| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,454.71 | $2,951.21 | $4,365.16 | |
Cigna
| Facility | $5,888.44 | $5,888.44 | $5,888.44 | |
Cigna
| Professional | $3,467.37 | $3,467.37 | $3,467.37 | |
MVP Health Care
| Facility | $3,467.37 | $3,467.37 | $3,467.37 | |
MVP Health Care
| Professional | $3,467.37 | $3,467.37 | $3,467.37 | |
United
| Professional | $1,513.56 | $2,089.30 | $8,128.31 |