| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $107.15 | $107.15 | $107.15 | |
Aetna
| Professional | $60.26 | $81.28 | $107.15 | |
BCBS
| Facility | $218,776.16 | $524,807.46 | $954,992.59 | |
BCBS
| Professional | $165.96 | $165.96 | $218.78 | |
Cigna
| Facility | $100.00 | $100.00 | $158.49 | |
Cigna
| Professional | $61.66 | $74.13 | $100.00 | |
United
| Facility | $72.44 | $165.96 | $199.53 | |
United
| Professional | $47.86 | $81.28 | $112.20 |