| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.81 | $640.00 | $1,168.00 | |
Emblem Health
| Facility | $600.00 | $600.00 | $600.00 | |
MVP Health Care
| Facility | $555.00 | $597.00 | $74,999.25 | |
Univera
| Facility | $308.00 | $308.00 | $308.00 |