| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.82 | $57.45 | $57.45 | |
BCBS
| Facility | $179,999.82 | $179,999.82 | $539,999.46 | |
BCBS
| Professional | $43.37 | $57.82 | $57.82 | |
Cigna
| Professional | $14.25 | $14.25 | $22.80 | |
United
| Professional | $48.00 | $48.00 | $48.00 |