| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,630.78 | $12,882.50 | $24,547.09 | |
Aetna
| Professional | $3,630.78 | $4,168.69 | $5,754.40 | |
BCBS
| Professional | $5,248.07 | $5,623.41 | $7,413.10 | |
Cigna
| Facility | $3,388.44 | $12,882.50 | $29,512.09 | |
Medcost
| Facility | $3,162.28 | $4,265.80 | $6,606.93 | |
United
| Facility | $5,248.07 | $5,248.07 | $5,248.07 | |
United
| Professional | $2,187.76 | $3,162.28 | $5,248.07 |