| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $340.00 | $340.00 | $340.00 | |
Cigna
| Facility | $10,302.00 | $10,302.00 | $10,302.00 | |
MVP Health Care
| Facility | $10,302.00 | $10,302.00 | $10,302.00 | |
United
| Facility | $400.00 | $898.00 | $3,017.00 |