| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $902.00 | $8,031.00 | $46,186.00 | |
Aetna
| Professional | $688.00 | $688.00 | $688.00 | |
Anthem BCBS
| Facility | $12,098.00 | $27,979.00 | $50,658.00 | |
Cigna
| Facility | $13,953.00 | $27,808.00 | $45,414.96 | |
United
| Facility | $3,275.00 | $8,033.00 | $51,740.00 |