| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4,717.53 | $8,356.77 | $8,356.77 | |
Cigna
| Facility | $11,279.94 | $11,279.94 | $11,279.94 | |
MVP Health Care
| Facility | $11,279.94 | $11,279.94 | $11,279.94 | |
MVP Health Care
| Professional | $4,380.56 | $4,380.56 | $4,380.56 | |
United
| Professional | $2,943.74 | $6,739.33 | $30,326.99 |