| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $860.00 | $2,726.00 | $5,526.00 | |
Aetna
| Professional | $15,154.57 | $15,154.57 | $15,154.57 | |
BCBS
| Facility | $12,866.71 | $22,343.53 | $32,329.23 | |
Cigna
| Facility | $400.00 | $400.00 | $400.00 | |
United
| Facility | $1,200.00 | $6,034.00 | $13,506.00 |