| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $141.25 | $141.25 | $141.25 | |
Aetna
| Professional | $141.25 | $141.25 | $141.25 | |
BCBS
| Facility | $218,776.16 | $524,807.46 | $954,992.59 | |
BCBS
| Professional | $177.83 | $177.83 | $239.88 | |
Cigna
| Facility | $223.87 | $223.87 | $223.87 | |
Cigna
| Professional | $162.18 | $162.18 | $223.87 | |
United
| Facility | $0.28 | $169.82 | $234.42 | |
United
| Professional | $114.82 | $158.49 | $229.09 |