| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,568.00 | $1,568.00 | $1,568.00 | |
Anthem BCBS
| Professional | $50.00 | $207.58 | $334.80 | |
Cigna
| Facility | $255.34 | $307.64 | $338.40 | |
Emblem Health
| Professional | $55,249.45 | $65,649.34 | $71,499.28 | |
MVP Health Care
| Facility | $254.50 | $307.64 | $484.57 |