| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3,833.06 | $6,789.99 | $6,789.99 | |
Cigna
| Facility | $9,165.12 | $9,165.12 | $9,165.12 | |
MVP Health Care
| Facility | $9,165.12 | $9,165.12 | $9,165.12 | |
MVP Health Care
| Professional | $3,559.27 | $3,559.27 | $3,559.27 | |
United
| Professional | $2,391.83 | $5,475.80 | $24,641.10 |