| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $652,544.29 | $652,544.29 | $652,544.29 | |
Aetna
| Professional | $562,538.18 | $562,538.18 | $655,379.00 | |
Cigna
| Professional | $563,231.27 | $563,231.27 | $674,814.82 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 |