| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $207.75 | $207.75 | $207.75 | |
Aetna
| Professional | $180.49 | $207.75 | $214.87 | |
BCBS
| Facility | $179,999.82 | $489,999.51 | $949,999.05 | |
BCBS
| Professional | $187.88 | $248.66 | $248.66 | |
Cigna
| Professional | $119.00 | $119.00 | $119.00 | |
United
| Professional | $85.78 | $189.19 | $253.63 |