| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3,500.00 | $6,200.00 | $6,200.00 | |
Cigna
| Facility | $8,368.75 | $8,368.75 | $8,368.75 | |
MVP Health Care
| Facility | $8,368.75 | $8,368.75 | $8,368.75 | |
MVP Health Care
| Professional | $3,250.00 | $3,250.00 | $3,250.00 | |
United
| Professional | $2,184.00 | $5,000.00 | $22,500.00 |