| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,592.00 | $5,063.00 | $9,488.00 | |
Aetna
| Professional | $4,592.00 | $5,063.00 | $7,631.00 | |
Anthem BCBS
| Facility | $2,226.13 | $6,105.48 | $13,137.87 | |
Cigna
| Facility | $6,068.00 | $11,970.00 | $18,035.00 | |
United
| Facility | $2,650.00 | $12,757.00 | $38,174.00 |