| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,841.00 | $10,841.00 | $10,841.00 | |
Emblem Health
| Facility | $2,930.00 | $6,685.00 | $13,113.00 | |
MVP Health Care
| Facility | $3,017.00 | $4,717.00 | $22,460.00 | |
Univera
| Facility | $896.00 | $3,019.00 | $24,160.00 |