| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28,992.61 | $28,992.61 | $28,992.61 | |
Aetna
| Professional | $15,821.91 | $15,821.91 | $15,821.91 | |
Cigna
| Facility | $9,754.57 | $9,754.57 | $9,754.57 | |
Cigna
| Professional | $16,087.50 | $16,087.50 | $20,824.25 |