| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,000.00 | $2,691.53 | $3,235.94 | |
Cigna
| Facility | $5,623.41 | $5,623.41 | $5,623.41 | |
Cigna
| Professional | $3,311.31 | $3,801.89 | $7,413.10 | |
MVP Health Care
| Facility | $3,311.31 | $3,311.31 | $3,311.31 | |
MVP Health Care
| Professional | $3,311.31 | $3,311.31 | $3,311.31 | |
United
| Facility | $1,174.90 | $1,174.90 | $1,174.90 | |
United
| Professional | $1,445.44 | $3,311.31 | $7,762.47 |