| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20,661.22 | $20,661.22 | $20,661.22 | |
Anthem BCBS
| Facility | $12,224.20 | $16,010.56 | $18,053.93 | |
Cigna
| Facility | $699.00 | $699.00 | $1,863.80 | |
Martin's Point
| Facility | $20,661.22 | $20,661.22 | $20,661.22 |