| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,318.26 | $1,621.81 | $2,344.23 | |
Cigna
| Professional | $1,905.46 | $1,905.46 | $1,905.46 | |
MVP Health Care
| Facility | $1,905.46 | $1,905.46 | $1,905.46 | |
MVP Health Care
| Professional | $1,905.46 | $1,905.46 | $1,905.46 | |
United
| Professional | $831.76 | $1,148.15 | $4,365.16 |