| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26,151.41 | $26,151.41 | $26,151.41 | |
Aetna
| Professional | $26,151.41 | $40,834.39 | $40,834.39 | |
Cigna
| Facility | $52,120.98 | $52,120.98 | $52,120.98 | |
Cigna
| Professional | $38,437.90 | $38,437.90 | $217,965.45 |