| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13,489.63 | $13,489.63 | $16,218.10 | |
Cigna
| Facility | $11,748.98 | $11,748.98 | $11,748.98 | |
Cigna
| Professional | $9,772.37 | $9,772.37 | $11,748.98 | |
Molina
| Professional | $60.26 | $75.86 | $93.33 |