| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $90.00 | $90.00 | $90.00 | |
Aetna
| Professional | $90.00 | $90.00 | $90.00 | |
BCBS
| Facility | $179,999.82 | $519,999.48 | $999,999.00 | |
BCBS
| Professional | $149.34 | $186.68 | $197.66 | |
Cigna
| Professional | $90.80 | $90.80 | $90.80 |