| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $59.27 | $59.27 | $59.27 | |
Aetna
| Professional | $59.27 | $59.27 | $88.72 | |
BCBS
| Facility | $219,999.78 | $539,999.46 | $949,999.05 | |
BCBS
| Professional | $20.01 | $26.48 | $29.42 | |
Cigna
| Professional | $35.29 | $35.29 | $35.29 |