| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,896.96 | $2,113.76 | $12,851.70 | |
Aetna
| Professional | $2,113.76 | $2,113.76 | $2,357.66 | |
BCBS
| Facility | $621.22 | $621.22 | $621.22 | |
BCBS
| Professional | $2,709.95 | $2,845.45 | $3,739.73 | |
Cigna
| Facility | $4,925.07 | $6,675.97 | $15,451.61 | |
Medcost
| Facility | $2,113.76 | $2,709.95 | $3,424.29 | |
United
| Professional | $1,138.18 | $1,625.97 | $2,709.95 |