| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,778.28 | $1,778.28 | $6,025.60 | |
Aetna
| Professional | $1,778.28 | $2,754.23 | $3,388.44 | |
BCBS
| Professional | $3,548.13 | $3,548.13 | $4,677.35 | |
Cigna
| Facility | $2,290.87 | $4,466.84 | $6,456.54 | |
United
| Facility | $3,162.28 | $3,162.28 | $3,467.37 | |
United
| Professional | $1,479.11 | $2,089.30 | $3,467.37 |