| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,696.00 | $9,504.00 | $15,154.57 | |
Aetna
| Professional | $15,154.57 | $15,154.57 | $15,154.57 | |
Anthem BCBS
| Facility | $2,777.00 | $7,180.00 | $30,285.00 | |
Cigna
| Facility | $21,571.00 | $21,571.00 | $21,571.00 | |
United
| Facility | $4,070.00 | $8,440.00 | $13,382.00 |