| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3,622.19 | $4,851.14 | $4,851.14 | |
Cigna
| Facility | $200.00 | $200.00 | $200.00 | |
Cigna
| Professional | $200.00 | $3,344.98 | $3,344.98 | |
MVP Health Care
| Facility | $200.00 | $200.00 | $200.00 | |
MVP Health Care
| Professional | $200.00 | $200.00 | $200.00 | |
United
| Professional | $1,770.32 | $4,067.08 | $4,790.97 |