| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,258.00 | $3,940.00 | $7,602.00 | |
Aetna
| Professional | $16,536.72 | $16,536.72 | $16,536.72 | |
BCBS
| Facility | $2,897.00 | $7,138.00 | $13,623.00 | |
Cigna
| Facility | $30.00 | $30.00 | $30.00 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 | |
United
| Facility | $3,964.00 | $8,273.00 | $12,407.00 |