| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,548.00 | $4,043.00 | $9,661.00 | |
Aetna
| Professional | $700.00 | $2,626.00 | $10,170.00 | |
Cigna
| Facility | $14,648.00 | $14,648.00 | $14,648.00 | |
MVP Health Care
| Facility | $555.00 | $597.00 | $74,999.25 |