| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,137.50 | $2,015.00 | $10,448.79 | |
Cigna
| Facility | $2,719.84 | $2,719.84 | $2,719.84 | |
Cigna
| Professional | $1,867.59 | $2,334.48 | $3,651.36 | |
MVP Health Care
| Facility | $2,719.84 | $2,719.84 | $2,719.84 | |
MVP Health Care
| Professional | $640.00 | $1,867.59 | $3,651.36 | |
United
| Professional | $709.80 | $975.00 | $3,754.40 |