| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5,548.74 | $5,548.74 | $5,548.74 | |
AllWays Health Partners
| Facility | $7,082.88 | $7,082.88 | $7,082.88 | |
AllWays Health Partners
| Professional | $4,036.04 | $7,082.88 | $8,735.54 | |
Cigna
| Professional | $3,781.74 | $3,781.74 | $3,781.74 |