| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $5,495.41 | $7,943.28 | $10,471.29 | |
Cigna
| Facility | $7,079.46 | $7,079.46 | $7,079.46 | |
Cigna
| Professional | $6,025.60 | $7,079.46 | $7,244.36 | |
Molina
| Professional | $44.67 | $44.67 | $60.26 |