| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $123.03 | $123.03 | $123.03 | |
Aetna
| Professional | $83.18 | $107.15 | $131.83 | |
BCBS
| Facility | $218,776.16 | $524,807.46 | $954,992.59 | |
BCBS
| Professional | $109.65 | $109.65 | $147.91 | |
Cigna
| Professional | $61.66 | $61.66 | $97.72 | |
United
| Professional | $42.66 | $66.07 | $104.71 |