| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.01 | $38.01 | $38.01 | |
Aetna
| Professional | $28.98 | $37.72 | $38.01 | |
BCBS
| Facility | $179,999.82 | $519,999.48 | $999,999.00 | |
BCBS
| Professional | $34.36 | $42.96 | $45.49 | |
Cigna
| Professional | $19.25 | $19.25 | $35.28 | |
United
| Professional | $15.69 | $21.09 | $32.45 |