| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,580.00 | $1,580.00 | $8,275.41 | |
BCBS
| Professional | $1,287.00 | $1,287.00 | $1,287.00 | |
Cigna
| Facility | $2,154.12 | $2,154.12 | $2,154.12 | |
Cigna
| Professional | $1,478.95 | $1,848.69 | $2,891.57 | |
MVP Health Care
| Facility | $2,154.12 | $2,154.12 | $2,154.12 | |
MVP Health Care
| Professional | $640.00 | $1,478.95 | $2,891.57 | |
United
| Professional | $562.16 | $772.20 | $2,973.48 |