| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,240.00 | $2,496.00 | $15,175.70 | |
Aetna
| Professional | $2,496.00 | $2,496.00 | $2,784.00 | |
BCBS
| Professional | $3,200.00 | $3,200.00 | $4,376.00 | |
Cigna
| Facility | $2,132.31 | $6,489.60 | $18,245.75 | |
Medcost
| Facility | $2,464.00 | $3,200.00 | $3,424.00 | |
United
| Professional | $1,344.00 | $1,825.22 | $2,913.95 |