| 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 | $16,205.38 | $38,329.81 | $49,140.78 | |
Cigna
| Facility | $25,835.94 | $32,705.76 | $64,030.78 | |
Martin's Point
| Facility | $46,750.00 | $46,750.00 | $46,750.00 |