| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6,760.83 | $6,760.83 | $6,760.83 | |
Aetna
| Professional | $147.91 | $741.31 | $3,019.95 | |
BCBS
| Facility | $5,128.61 | $5,128.61 | $5,888.44 | |
Cigna
| Professional | $141.25 | $616.60 | $2,089.30 | |
United
| Professional | $245.47 | $1,047.13 | $2,570.40 |