| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13,649.91 | $13,649.91 | $13,649.91 | |
Aetna
| Professional | $6,932.62 | $13,649.91 | $13,649.91 | |
BCBS
| Professional | $12,085.86 | $12,085.86 | $12,085.86 | |
Cigna
| Facility | $9,907.40 | $9,907.40 | $15,315.43 | |
Cigna
| Professional | $7,232.40 | $9,907.40 | $13,410.73 | |
United
| Professional | $4,808.64 | $8,101.02 | $11,152.40 |