| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.22 | $31.22 | $31.22 | |
Aetna
| Professional | $19.20 | $31.22 | $37.15 | |
BCBS
| Facility | $179,999.82 | $519,999.48 | $999,999.00 | |
BCBS
| Professional | $114.04 | $142.55 | $150.93 | |
Cigna
| Professional | $19.36 | $19.36 | $19.36 |