| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,852.12 | $8,852.12 | $8,852.12 | |
Aetna
| Professional | $4,495.88 | $8,852.12 | $8,852.12 | |
BCBS
| Professional | $7,837.82 | $7,837.82 | $7,837.82 | |
Cigna
| Facility | $8,136.27 | $8,136.27 | $12,577.53 | |
Cigna
| Professional | $5,939.48 | $8,136.27 | $11,013.32 | |
United
| Professional | $3,502.40 | $5,253.60 | $8,095.64 |