| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,889.13 | $3,889.13 | $3,889.13 | |
BCBS
| Facility | $0.02 | $1,386.94 | $1,541.04 | |
BCBS
| Professional | $896.19 | $896.19 | $896.19 | |
Cigna
| Facility | $1,999.42 | $1,999.42 | $1,999.42 | |
Cigna
| Professional | $541.10 | $541.10 | $541.10 | |
United
| Professional | $284.08 | $405.82 | $975.53 |