| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15,060.20 | $15,060.20 | $15,060.20 | |
Aetna
| Professional | 55 | $101.96 | $101.96 | $101.96 |
BCBS
| Professional | $1,992.00 | $3,221.00 | $3,865.00 | |
Cigna
| Professional | $711.48 | $960.50 | $1,387.39 | |
United
| Facility | $5,188.00 | $5,188.00 | $18,767.00 | |
United
| Professional | $935.56 | $1,375.65 | $2,567.50 |