| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $960.00 | $1,728.00 | $3,097.39 | |
Aetna
| Professional | $1,778.64 | $3,097.39 | $3,097.39 | |
BCBS
| Facility | $23,805.76 | $28,889.41 | $38,865.50 | |
Cigna
| Professional | $670.00 | $1,747.70 | $3,054.24 | |
United
| Facility | $650.00 | $1,783.00 | $5,201.00 | |
United
| Professional | $1,222.71 | $1,758.70 | $2,679.92 |