| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $1,417.00 | $2,206.00 | |
Aetna
| Professional | $1,000.00 | $1,000.00 | $1,000.00 | |
BCBS
| Facility | $1,743.13 | $2,115.37 | $2,845.85 | |
Cigna
| Facility | $3,138.00 | $3,138.00 | $3,138.00 |