| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $819.19 | $819.19 | $819.19 | |
BCBS
| Facility | $149,999.85 | $399,999.60 | $999,999.00 | |
Cigna
| Facility | $390.00 | $390.00 | $397.80 | |
Cigna
| Professional | $331.50 | $390.00 | $397.80 |