| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3,036.25 | $3,901.86 | $5,225.70 | |
Cigna
| Facility | $422.50 | $422.50 | $422.50 | |
Cigna
| Professional | $422.50 | $4,550.34 | $4,550.34 | |
MVP Health Care
| Facility | $422.50 | $422.50 | $422.50 | |
MVP Health Care
| Professional | $422.50 | $422.50 | $422.50 | |
United
| Professional | $1,930.38 | $4,631.04 | $5,421.21 |