| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.75 | $1.75 | $1.75 | |
Aetna
| Professional | $1.75 | $1.75 | $1.75 | |
BCBS
| Facility | $179,999.82 | $519,999.48 | $999,999.00 | |
BCBS
| Professional | $1.41 | $1.77 | $1.87 | |
Cigna
| Professional | $0.20 | $0.20 | $0.20 |