| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $884.47 | $1,566.78 | $1,566.78 | |
Cigna
| Facility | $2,114.82 | $2,114.82 | $2,114.82 | |
MVP Health Care
| Facility | $2,114.82 | $2,114.82 | $2,114.82 | |
MVP Health Care
| Professional | $821.29 | $821.29 | $821.29 | |
United
| Professional | $551.91 | $1,459.88 | $5,685.89 |