| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38,699.29 | $38,699.29 | $39,921.37 | |
Aetna
| Professional | $38,699.29 | $39,106.65 | $39,921.37 | |
Cigna
| Professional | $17.57 | $38,437.90 | $38,437.90 | |
Molina
| Professional | $17.00 | $17.00 | $20.00 |