| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $424,000.00 | $533,230.17 | $639,876.21 | |
Aetna
| Professional | $533,230.17 | $538,562.47 | $639,876.21 | |
Cigna
| Professional | $0.87 | $0.87 | $0.87 | |
Molina
| Professional | $668,778.19 | $668,778.19 | $668,778.19 |