| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.10 | $2.10 | $2.10 | |
Aetna
| Professional | $0.41 | $2.10 | $2.10 | |
BCBS
| Facility | $179,999.82 | $489,999.51 | $949,999.05 | |
BCBS
| Professional | $0.73 | $0.97 | $0.97 | |
Cigna
| Professional | $0.52 | $0.52 | $0.52 |