| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13,694.74 | $13,694.74 | $13,694.74 | |
Cigna
| Professional | $2,682.23 | $2,682.23 | $2,682.23 | |
MVP Health Care
| Facility | $555.00 | $597.00 | $74,999.25 | |
MVP Health Care
| Professional | $2,682.23 | $2,682.23 | $2,682.23 |