| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,455.00 | $15,472.70 | $20,888.09 | |
Aetna
| Professional | $6,341.25 | $6,341.25 | $6,341.25 | |
BCBS
| Facility | $10,991.50 | $11,414.25 | $11,414.25 | |
Cigna
| Facility | $5,495.75 | $5,495.75 | $5,770.54 | |
Molina
| Professional | $40.00 | $40.00 | $40.00 | |
United
| Professional | $1,543.50 | $2,205.00 | $6,273.11 |