| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58.88 | $58.88 | $58.88 | |
Aetna
| Professional | $30.90 | $51.29 | $64.57 | |
BCBS
| Facility | $218,776.16 | $524,807.46 | $954,992.59 | |
BCBS
| Professional | $53.70 | $53.70 | $70.79 | |
Cigna
| Professional | $30.20 | $30.20 | $75.86 | |
United
| Professional | $20.89 | $32.36 | $50.12 |