| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.77 | $46.77 | $46.77 | |
Aetna
| Professional | $25.12 | $38.02 | $52.48 | |
BCBS
| Facility | $218,776.16 | $524,807.46 | $954,992.59 | |
BCBS
| Professional | $75.86 | $75.86 | $75.86 | |
Cigna
| Professional | $31.62 | $31.62 | $31.62 | |
United
| Professional | $17.38 | $28.18 | $42.66 |