| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,421.00 | $2,517.19 | $2,517.19 | |
Cigna
| Facility | $3,397.71 | $3,397.71 | $3,397.71 | |
MVP Health Care
| Facility | $3,397.71 | $3,397.71 | $3,397.71 | |
MVP Health Care
| Professional | $1,319.50 | $1,319.50 | $1,319.50 | |
United
| Professional | $886.70 | $2,030.00 | $4,690.10 |