| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $557,317.93 | $557,317.93 | $974,269.00 | |
Aetna
| Professional | $557,317.93 | $557,317.93 | $654,925.00 | |
Cigna
| Professional | $528,312.38 | $528,312.38 | $660,390.47 | |
Medica
| Facility | $835,976.90 | $835,976.90 | $835,976.90 |