| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,625.00 | $2,973.75 | $3,298.75 | |
Aetna
| Professional | $1,283.75 | $1,868.75 | $3,298.75 | |
BCBS
| Facility | $2,004.17 | $2,004.17 | $2,004.17 | |
BCBS
| Professional | $2,004.17 | $2,004.17 | $2,004.17 | |
Cigna
| Facility | $1,056.25 | $1,109.06 | $1,362.56 | |
Cigna
| Professional | $695.55 | $1,251.99 | $2,334.48 | |
United
| Professional | $682.50 | $975.00 | $2,773.83 |