| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,904.75 | $3,284.30 | $10,573.30 | |
Aetna
| Professional | $2,904.75 | $3,020.94 | $3,679.35 | |
BCBS
| Professional | $2,013.96 | $5,112.35 | $7,629.81 | |
Cigna
| Facility | $2,593.54 | $8,344.45 | $13,828.87 | |
Cigna
| Professional | $3,873.00 | $3,873.00 | $18,667.86 | |
Lucent Health
| Facility | $6,739.02 | $18,396.75 | $18,396.75 | |
Lucent Health
| Professional | $19,287.54 | $19,287.54 | $29,047.50 | |
United
| Professional | $1,626.66 | $2,323.80 | $3,873.00 |