| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.26 | $49.26 | $49.26 | |
Aetna
| Professional | $40.15 | $49.26 | $72.02 | |
BCBS
| Facility | $179,999.82 | $519,999.48 | $999,999.00 | |
BCBS
| Professional | $44.55 | $55.68 | $58.96 | |
Cigna
| Professional | $24.95 | $24.95 | $42.02 | |
United
| Professional | $20.34 | $29.14 | $42.01 |