| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,531.00 | $6,319.00 | $9,488.00 | |
Aetna
| Professional | $5,063.00 | $15,154.57 | $15,154.57 | |
Anthem BCBS
| Facility | $2,028.78 | $5,656.86 | $12,326.53 | |
Cigna
| Facility | $2,500.00 | $2,500.00 | $41,600.00 | |
United
| Facility | $1,998.00 | $9,172.00 | $18,613.00 |