| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,572.50 | $4,557.00 | $4,557.00 | |
Cigna
| Facility | $6,151.03 | $6,151.03 | $6,151.03 | |
MVP Health Care
| Facility | $6,151.03 | $6,151.03 | $6,151.03 | |
MVP Health Care
| Professional | $2,388.75 | $2,388.75 | $2,388.75 | |
United
| Professional | $1,605.24 | $3,675.00 | $16,537.50 |