| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $104.28 | $118.09 | $119.63 | |
BCBS
| Facility | $179,999.82 | $179,999.82 | $539,999.46 | |
BCBS
| Professional | $130.81 | $173.13 | $192.37 | |
Cigna
| Facility | $113.88 | $113.88 | $113.88 | |
Cigna
| Professional | $49.43 | $60.08 | $61.90 | |
United
| Professional | $41.63 | $66.18 | $90.92 |