| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $875.00 | $1,831.00 | $2,825.00 | |
BCBS
| Facility | $18,424.31 | $18,424.31 | $20,266.74 | |
BCBS
| Professional | $5,356.70 | $5,356.70 | $5,356.70 | |
Cigna
| Facility | $13,189.02 | $13,189.02 | $13,189.02 | |
United
| Facility | $1,360.00 | $8,766.00 | $15,000.00 |