| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.17 | $37.17 | $37.17 | |
Aetna
| Professional | $29.74 | $37.17 | $37.17 | |
BCBS
| Facility | $179,999.82 | $519,999.48 | $999,999.00 | |
Cigna
| Professional | $872.98 | $872.98 | $872.98 |