| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15,169.81 | $15,169.81 | $15,169.81 | |
Aetna
| Professional | $7,704.56 | $15,169.81 | $15,169.81 | |
BCBS
| Professional | $13,431.61 | $13,431.61 | $13,431.61 | |
Cigna
| Facility | $12,562.99 | $12,562.99 | $19,420.61 | |
Cigna
| Professional | $9,170.98 | $12,562.99 | $17,005.36 | |
United
| Professional | $5,822.18 | $9,003.04 | $13,457.71 |