| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $373.05 | $373.05 | $373.05 | |
BCBS
| Facility | $149,999.85 | $399,999.60 | $999,999.00 | |
Cigna
| Facility | $296.00 | $296.00 | $296.00 | |
Cigna
| Professional | $251.60 | $251.60 | $296.00 |