| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $812.00 | $1,438.40 | $7,458.80 | |
Cigna
| Facility | $1,941.55 | $1,941.55 | $1,941.55 | |
MVP Health Care
| Facility | $1,941.55 | $1,941.55 | $1,941.55 | |
MVP Health Care
| Professional | $754.00 | $754.00 | $754.00 | |
United
| Professional | $506.69 | $1,160.00 | $5,220.00 |