| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,884.94 | $1,960.34 | $2,236.79 | |
BCBS
| Professional | $1,884.94 | $3,518.55 | $4,951.10 | |
Cigna
| Facility | $5,940.00 | $5,940.00 | $5,940.00 | |
Cigna
| Professional | $23,859.00 | $23,859.00 | $23,859.00 | |
Lucent Health
| Facility | $8,613.00 | $12,127.50 | $23,512.50 | |
Lucent Health
| Professional | $24,651.00 | $24,651.00 | $37,125.00 | |
United
| Professional | $1,055.57 | $1,507.95 | $4,950.00 |