| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11,944.54 | $20,849.75 | $20,849.75 | |
Cigna
| Facility | $1,051.59 | $1,051.59 | $1,051.59 | |
Cigna
| Professional | $893.86 | $893.86 | $1,051.59 | |
MVP Health Care
| Facility | $597.00 | $1,051.59 | $1,051.59 | |
MVP Health Care
| Professional | $893.86 | $893.86 | $1,051.59 |