| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,560.00 | $4,707.00 | $14,888.00 | |
Aetna
| Professional | $912.27 | $912.27 | $912.27 | |
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 | $4,786.00 | $17,870.00 | $45,118.00 |