| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.87 | $47.87 | $47.87 | |
Aetna
| Professional | $23.08 | $47.53 | $47.87 | |
BCBS
| Facility | $179,999.82 | $519,999.48 | $999,999.00 | |
BCBS
| Professional | $67.91 | $75.45 | $75.45 | |
Cigna
| Professional | $28.30 | $31.73 | $31.73 | |
United
| Professional | $19.76 | $28.33 | $47.21 |