| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46,750.00 | $46,750.00 | $46,750.00 | |
Anthem BCBS
| Facility | $22,425.25 | $59,432.02 | $76,194.89 | |
Cigna
| Facility | $34,877.80 | $46,844.74 | $91,711.84 | |
Martin's Point
| Facility | $46,750.00 | $46,750.00 | $46,750.00 |