| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.83 | $57.83 | $57.83 | |
Aetna
| Professional | $46.30 | $57.83 | $61.41 | |
BCBS
| Facility | $219,999.78 | $539,999.46 | $949,999.05 | |
BCBS
| Professional | $87.72 | $116.10 | $129.00 | |
Cigna
| Facility | $75.05 | $75.05 | $75.05 | |
Cigna
| Professional | $54.79 | $54.79 | $75.05 | |
United
| Professional | $38.54 | $49.66 | $81.26 |