| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,633.00 | $7,345.00 | $11,555.00 | |
Aetna
| Professional | $2,909.00 | $15,154.57 | $15,154.57 | |
Anthem BCBS
| Facility | $9,823.00 | $12,004.00 | $15,528.00 | |
Cigna
| Facility | $640.00 | $640.00 | $640.00 | |
United
| Facility | $7,408.00 | $13,296.00 | $26,537.00 |