| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,493.00 | $4,612.05 | $11,899.90 | |
Aetna
| Professional | $2,493.00 | $2,592.71 | $2,958.36 | |
BCBS
| Professional | $1,728.48 | $3,324.00 | $6,315.60 | |
Cigna
| Facility | $2,160.60 | $7,161.68 | $10,421.84 | |
Cigna
| Professional | $1,497.41 | $2,223.71 | $5,661.71 | |
Lucent Health
| Facility | $5,783.76 | $15,789.00 | $15,789.00 | |
Lucent Health
| Professional | $16,620.00 | $16,620.00 | $24,930.00 | |
United
| Professional | $1,396.08 | $1,994.40 | $3,324.00 |