| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $565,868.94 | $565,868.94 | $996,082.00 | |
Aetna
| Professional | $565,868.94 | $565,868.94 | $669,588.00 | |
Cigna
| Professional | $522,055.50 | $522,055.50 | $652,569.38 | |
Medica
| Facility | $848,803.41 | $848,803.41 | $848,803.41 |