| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $821.74 | $821.74 | $821.74 | |
BCBS
| Facility | $149,999.85 | $399,999.60 | $999,999.00 | |
Cigna
| Facility | $405.00 | $405.00 | $413.10 | |
Cigna
| Professional | $344.25 | $405.00 | $413.10 |