| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,816.23 | $10,816.23 | $10,816.23 | |
Aetna
| Professional | $5,493.43 | $10,816.23 | $10,816.23 | |
BCBS
| Professional | $9,576.87 | $9,576.87 | $9,576.87 | |
Cigna
| Facility | $9,077.06 | $9,077.06 | $14,031.86 | |
Cigna
| Professional | $6,626.25 | $9,077.06 | $12,286.79 | |
United
| Professional | $4,074.64 | $6,419.27 | $9,418.33 |