| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,930.99 | $2,183.30 | $7,028.79 | |
Aetna
| Professional | $1,930.99 | $2,008.23 | $2,188.44 | |
BCBS
| Professional | $1,338.82 | $3,398.54 | $5,072.06 | |
Cigna
| Facility | $1,698.62 | $5,547.40 | $9,193.12 | |
Cigna
| Professional | $2,574.65 | $2,574.65 | $12,409.81 | |
Lucent Health
| Facility | $4,479.89 | $12,229.59 | $12,229.59 | |
Lucent Health
| Professional | $12,821.76 | $12,821.76 | $19,309.88 | |
United
| Professional | $1,081.34 | $1,544.79 | $2,574.65 |