| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,696.00 | $9,504.00 | $12,615.00 | |
Aetna
| Professional | $16,536.72 | $16,536.72 | $16,536.72 | |
Anthem BCBS
| Facility | $2,097.00 | $8,010.00 | $36,529.00 | |
Cigna
| Facility | $21,571.00 | $21,571.00 | $21,571.00 | |
United
| Facility | $4,070.00 | $8,440.00 | $13,382.00 |