| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.90 | $13.90 | $13.90 | |
Aetna
| Professional | $12.08 | $13.90 | $14.38 | |
BCBS
| Facility | $179,999.82 | $489,999.51 | $949,999.05 | |
BCBS
| Professional | $12.57 | $16.64 | $16.64 | |
Cigna
| Professional | $10.19 | $10.19 | $10.19 | |
United
| Professional | $5.74 | $12.52 | $16.96 |