| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.54 | $57.54 | $57.54 | |
Aetna
| Professional | $41.69 | $50.12 | $67.61 | |
BCBS
| Facility | $218,776.16 | $524,807.46 | $954,992.59 | |
BCBS
| Professional | $87.10 | $87.10 | $114.82 | |
Cigna
| Facility | $75.86 | $75.86 | $75.86 | |
Cigna
| Professional | $54.95 | $54.95 | $75.86 | |
United
| Facility | $0.10 | $57.54 | $257.04 | |
United
| Professional | $38.90 | $50.12 | $87.10 |