| 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 | $14,196.23 | $34,282.46 | $43,951.87 | |
Cigna
| Facility | $23,532.58 | $29,789.93 | $58,322.22 | |
Martin's Point
| Facility | $46,750.00 | $46,750.00 | $46,750.00 |