| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5,877.02 | $5,877.02 | $5,877.02 | |
Cigna
| Facility | $1,529.81 | $1,529.81 | $1,529.81 | |
Cigna
| Professional | $2,053.94 | $2,053.94 | $2,053.94 | |
MVP Health Care
| Facility | $1,529.81 | $1,529.81 | $1,529.81 | |
MVP Health Care
| Professional | $640.00 | $640.00 | $2,053.94 | |
United
| Professional | $399.24 | $914.00 | $4,113.00 |