| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $118.71 | $118.71 | $118.71 | |
Aetna
| Professional | $61.78 | $117.83 | $118.71 | |
BCBS
| Facility | $179,999.82 | $519,999.48 | $999,999.00 | |
BCBS
| Professional | $107.35 | $134.19 | $142.08 | |
Cigna
| Professional | $60.12 | $60.12 | $75.11 | |
United
| Professional | $49.01 | $65.84 | $101.30 |