| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.08 | $29.08 | $29.08 | |
Aetna
| Professional | $14.26 | $28.86 | $29.08 | |
BCBS
| Facility | $179,999.82 | $519,999.48 | $999,999.00 | |
BCBS
| Professional | $26.30 | $32.88 | $34.81 | |
Cigna
| Professional | $14.73 | $14.73 | $17.39 | |
United
| Professional | $10.21 | $16.13 | $30.02 |