| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13,489.63 | $13,489.63 | $13,489.63 | |
Aetna
| Professional | $1,380.38 | $1,905.46 | $2,137.96 | |
BCBS
| Professional | $4,897.79 | $4,897.79 | $4,897.79 | |
Cigna
| Professional | $5,754.40 | $6,025.60 | $7,244.36 | |
Hally Health
| Professional | $5,495.41 | $6,918.31 | $12,589.25 | |
United
| Professional | $1,047.13 | $1,513.56 | $2,511.89 |