| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,212.16 | $5,184.82 | $6,607.25 | |
Aetna
| Professional | $1,545.58 | $1,545.58 | $1,545.58 | |
Cigna
| Professional | $660.66 | $660.66 | $660.66 | |
MVP Health Care
| Facility | $555.00 | $597.00 | $74,999.25 | |
MVP Health Care
| Professional | $660.66 | $660.66 | $660.66 |