| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $59.39 | $59.39 | $59.39 | |
Aetna
| Professional | $30.97 | $58.95 | $59.39 | |
BCBS
| Facility | $179,999.82 | $519,999.48 | $999,999.00 | |
BCBS
| Professional | $53.71 | $67.14 | $71.09 | |
Cigna
| Professional | $30.08 | $30.08 | $37.63 | |
United
| Professional | $20.84 | $34.00 | $50.66 |