| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11,583.00 | $11,583.00 | $11,583.00 | |
Aetna
| Professional | $5.00 | $1,369.72 | $1,369.72 | |
BCBS
| Professional | $4,950.00 | $4,950.00 | $4,950.00 | |
Cigna
| Professional | $5,745.13 | $6,029.54 | $7,224.08 | |
Hally Health
| Professional | $5,445.00 | $7,177.50 | $12,602.70 | |
Molina
| Professional | $6,732.00 | $7,276.50 | $7,425.00 | |
United
| Professional | $1,055.57 | $1,507.95 | $2,588.65 |