| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.72 | $20.72 | $20.72 | |
Aetna
| Professional | $17.48 | $20.39 | $28.40 | |
BCBS
| Facility | $179,999.82 | $519,999.48 | $999,999.00 | |
BCBS
| Professional | $18.73 | $23.43 | $24.80 | |
Cigna
| Professional | $10.49 | $10.49 | $21.32 | |
United
| Professional | $8.56 | $11.86 | $17.68 |