| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $960.00 | $1,728.00 | $3,428.62 | |
Aetna
| Professional | $1,967.98 | $3,428.62 | $3,428.62 | |
BCBS
| Facility | $23,805.76 | $28,889.41 | $38,865.50 | |
Cigna
| Professional | $670.00 | $1,934.01 | $3,379.82 | |
United
| Facility | $650.00 | $1,754.00 | $5,201.00 | |
United
| Professional | $1,292.56 | $1,938.85 | $3,308.06 |