| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2,480.40 | $2,480.40 | $2,480.40 | |
Cigna
| Facility | $13,015.08 | $13,015.08 | $13,015.08 | |
MVP Health Care
| Facility | $13,015.08 | $13,015.08 | $13,015.08 | |
MVP Health Care
| Professional | $5,054.39 | $5,054.39 | $5,054.39 | |
United
| Professional | $3,396.56 | $7,776.00 | $34,992.00 |