| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $688.00 | $1,268.00 | $2,250.00 | |
Aetna
| Professional | $688.00 | $688.00 | $688.00 | |
BCBS
| Facility | $11,449.67 | $13,894.72 | $18,692.84 | |
Cigna
| Facility | $5,250.00 | $11,123.00 | $13,458.00 | |
United
| Facility | $657.00 | $2,031.00 | $16,883.00 |