| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $239.88 | $239.88 | $239.88 | |
Aetna
| Professional | $165.96 | $213.80 | $295.12 | |
BCBS
| Facility | $218,776.16 | $524,807.46 | $954,992.59 | |
BCBS
| Professional | $371.54 | $371.54 | $489.78 | |
Cigna
| Facility | $251.19 | $251.19 | $354.81 | |
Cigna
| Professional | $162.18 | $181.97 | $251.19 | |
United
| Facility | $190.55 | $446.68 | $524.81 | |
United
| Professional | $128.82 | $194.98 | $263.03 |