| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $61.64 | $83.47 | $83.47 | |
BCBS
| Facility | $179,999.82 | $179,999.82 | $539,999.46 | |
BCBS
| Professional | $81.59 | $108.00 | $120.00 | |
Cigna
| Professional | $385.20 | $385.20 | $385.20 |