| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $379.12 | $379.12 | $379.12 | |
BCBS
| Facility | $149,999.85 | $399,999.60 | $999,999.00 | |
BCBS
| Professional | $465.94 | $616.67 | $685.20 | |
Cigna
| Facility | $128.00 | $128.00 | $250.00 | |
Cigna
| Professional | $108.80 | $128.00 | $250.00 | |
United
| Professional | $258.43 | $344.39 | $565.45 |