| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.44 | $67.44 | $67.44 | |
Aetna
| Professional | $26.95 | $66.94 | $69.64 | |
BCBS
| Facility | $179,999.82 | $519,999.48 | $999,999.00 | |
BCBS
| Professional | $60.99 | $76.23 | $80.72 | |
Cigna
| Professional | $31.52 | $34.15 | $35.18 | |
United
| Professional | $27.84 | $37.40 | $57.56 |