| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $50.90 | $50.90 | $50.90 | |
BCBS
| Facility | $2,825,202.34 | $4,153,047.44 | $5,430,666.72 | |
BCBS
| Professional | $2,699,637.79 | $2,699,637.79 | $2,699,637.79 | |
Medcost
| Professional | $2,570,029.68 | $2,570,029.68 | $2,570,029.68 |