| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,785.90 | $4,730.00 | $23,933.30 | |
Aetna
| Professional | $688.00 | $688.00 | $688.00 | |
Anthem BCBS
| Facility | $15,326.00 | $20,432.00 | $25,540.00 | |
Cigna
| Facility | $4,542.00 | $15,557.00 | $19,418.00 | |
United
| Facility | $1,061.00 | $8,000.00 | $45,118.00 |