| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $340.00 | $340.00 | $340.00 | |
Cigna
| Facility | $4,224.00 | $4,224.00 | $4,224.00 | |
MVP Health Care
| Facility | $4,224.00 | $4,224.00 | $4,224.00 | |
United
| Facility | $450.00 | $526.00 | $1,037.00 |