| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,657.22 | $4,075.19 | $24,777.20 | |
Aetna
| Professional | $4,075.19 | $4,075.19 | $4,545.39 | |
BCBS
| Professional | $5,224.60 | $5,485.83 | $7,209.95 | |
Cigna
| Facility | $9,495.19 | $12,870.80 | $29,789.62 | |
Medcost
| Facility | $4,022.94 | $5,224.60 | $5,590.32 | |
United
| Professional | $2,194.33 | $3,134.76 | $5,224.60 |