| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $8,156.60 | $8,156.60 | $8,156.60 | |
Cigna
| Facility | $11,619.91 | $11,619.91 | $11,619.91 | |
Cigna
| Professional | $9,876.92 | $9,876.92 | $11,619.91 | |
Molina
| Professional | $45.00 | $45.00 | $60.00 |