| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $109.65 | $109.65 | $109.65 | |
Aetna
| Professional | $75.86 | $97.72 | $134.90 | |
BCBS
| Facility | $218,776.16 | $524,807.46 | $954,992.59 | |
BCBS
| Professional | $169.82 | $169.82 | $223.87 | |
Cigna
| Facility | $112.20 | $112.20 | $158.49 | |
Cigna
| Professional | $74.13 | $81.28 | $112.20 | |
United
| Facility | $87.10 | $199.53 | $234.42 | |
United
| Professional | $57.54 | $89.13 | $117.49 |