| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,043.72 | $3,620.30 | $3,620.30 | |
Cigna
| Facility | $4,886.68 | $4,886.68 | $4,886.68 | |
MVP Health Care
| Facility | $4,886.68 | $4,886.68 | $4,886.68 | |
MVP Health Care
| Professional | $1,897.74 | $1,897.74 | $1,897.74 | |
United
| Professional | $1,226.23 | $2,919.60 | $6,745.44 |