| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $160.00 | $190.00 | $197.00 | |
Cigna
| Facility | $11,636.44 | $14,020.00 | $15,421.79 | |
Emblem Health
| Facility | $90.00 | $379.00 | $5,013.00 | |
MVP Health Care
| Facility | $14,020.00 | $14,020.00 | $15,421.79 |