| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $886.25 | $1,569.93 | $1,569.93 | |
Cigna
| Facility | $2,119.10 | $2,119.10 | $2,119.10 | |
MVP Health Care
| Facility | $2,119.10 | $2,119.10 | $2,119.10 | |
MVP Health Care
| Professional | $822.95 | $822.95 | $822.95 | |
United
| Professional | $553.02 | $1,462.82 | $2,925.13 |