| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,713.99 | $3,036.21 | $3,036.21 | |
Cigna
| Facility | $4,098.27 | $4,098.27 | $4,098.27 | |
MVP Health Care
| Facility | $4,098.27 | $4,098.27 | $4,098.27 | |
MVP Health Care
| Professional | $1,591.56 | $1,591.56 | $1,591.56 | |
United
| Professional | $1,069.53 | $2,448.56 | $11,018.52 |