| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,318.26 | $1,584.89 | $2,290.87 | |
Cigna
| Professional | $1,862.09 | $1,862.09 | $1,862.09 | |
MVP Health Care
| Facility | $1,862.09 | $1,862.09 | $1,862.09 | |
MVP Health Care
| Professional | $1,862.09 | $1,862.09 | $1,862.09 | |
United
| Professional | $812.83 | $1,122.02 | $4,265.80 |