| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.20 | $6.20 | $6.20 | |
Aetna
| Professional | $0.73 | $6.20 | $6.20 | |
BCBS
| Facility | $179,999.82 | $489,999.51 | $949,999.05 | |
BCBS
| Professional | $3.90 | $5.16 | $5.16 | |
Cigna
| Professional | $8.16 | $8.16 | $8.16 |