| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $618,547.00 | $618,547.00 | $618,547.00 | |
Aetna
| Professional | $533,230.17 | $533,230.17 | $639,876.21 | |
Cigna
| Professional | $533,794.80 | $533,794.80 | $639,546.60 | |
Molina
| Professional | $30.00 | $60.00 | $60.00 |