| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.95 | $70.95 | $70.95 | |
Aetna
| Professional | $51.52 | $70.95 | $76.15 | |
BCBS
| Facility | $179,999.82 | $519,999.48 | $999,999.00 | |
BCBS
| Professional | $102.75 | $128.44 | $136.00 | |
Cigna
| Professional | $47.79 | $47.79 | $47.79 | |
United
| Professional | $33.65 | $56.73 | $89.45 |