| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $960.00 | $1,728.00 | $2,250.00 | |
Aetna
| Professional | $16,536.72 | $16,536.72 | $16,536.72 | |
BCBS
| Facility | $13,648.86 | $16,563.53 | $22,283.25 | |
Cigna
| Facility | $3,800.00 | $3,800.00 | $11,745.00 | |
United
| Facility | $1,404.00 | $4,852.00 | $9,624.00 |