| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.66 | $4.66 | $4.66 | |
Aetna
| Professional | $4.04 | $4.66 | $4.75 | |
BCBS
| Facility | $179,999.82 | $519,999.48 | $999,999.00 | |
BCBS
| Professional | $2.43 | $3.04 | $3.22 | |
Cigna
| Professional | $2.98 | $2.98 | $2.98 |