| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,833.91 | $8,833.91 | $11,583.00 | |
Aetna
| Professional | $1,759.28 | $1,960.34 | $2,136.26 | |
BCBS
| Professional | $336.26 | $423.68 | $4,024.72 | |
Cigna
| Facility | $5,940.00 | $5,940.00 | $8,043.75 | |
Cigna
| Professional | $5,940.00 | $6,029.54 | $7,224.08 | |
United
| Facility | $3,769.88 | $3,769.88 | $3,769.88 | |
United
| Professional | $1,055.57 | $1,507.95 | $3,960.00 |