| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.56 | $43.56 | $43.56 | |
Aetna
| Professional | $16.80 | $43.56 | $43.56 | |
Ambetter
| Professional | $43.26 | $43.26 | $43.27 | |
BCBS
| Facility | $219,999.78 | $539,999.46 | $949,999.05 | |
BCBS
| Professional | $46.68 | $61.79 | $68.65 | |
CareSource
| Facility | $54.08 | $54.08 | $67.59 | |
CareSource
| Professional | $54.08 | $54.08 | $70.30 | |
Cigna
| Facility | $36.21 | $36.21 | $36.21 | |
Cigna
| Professional | $26.43 | $36.21 | $42.48 | |
Qualchoice
| Professional | $49.75 | $49.75 | $49.76 | |
United
| Professional | $16.18 | $25.78 | $38.51 |