| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.30 | $89.25 | $523.60 | |
Aetna
| Professional | $95.02 | $95.02 | $133.88 | |
BCBS
| Facility | $219,999.78 | $539,999.46 | $949,999.05 | |
BCBS
| Professional | $20.39 | $27.00 | $30.00 | |
Cigna
| Professional | $119.90 | $119.90 | $119.90 |