| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $9,556.75 | $9,556.75 | $16,736.43 | |
BCBS
| Facility | $18,665.50 | $18,665.50 | $18,665.50 | |
BCBS
| Professional | $18,665.50 | $18,665.50 | $18,665.50 | |
Cigna
| Facility | $9,418.01 | $9,418.01 | $15,768.62 | |
Cigna
| Professional | $6,875.15 | $6,875.15 | $9,418.01 | |
United
| Professional | $6,463.76 | $7,151.63 | $11,020.45 |