| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $9,343.75 | $9,343.75 | $9,343.75 | |
Aetna
| Professional | $975.00 | $1,137.50 | $1,332.50 | |
BCBS
| Facility | $1,625.00 | $1,913.93 | $2,080.00 | |
BCBS
| Professional | $1,218.75 | $1,218.75 | $1,291.88 | |
Cigna
| Facility | $4,312.97 | $4,312.97 | $4,312.97 | |
Cigna
| Professional | $950.62 | $1,867.59 | $2,334.48 | |
United
| Professional | $682.50 | $975.00 | $2,343.73 |