| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $574.00 | $574.00 | $574.00 | |
BCBS
| Facility | $149,999.85 | $399,999.60 | $999,999.00 | |
BCBS
| Professional | $53.53 | $70.84 | $78.72 | |
Cigna
| Facility | $424.00 | $424.00 | $424.00 | |
Cigna
| Professional | $360.40 | $424.00 | $424.00 |