| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.56 | $44.56 | $44.56 | |
Aetna
| Professional | $24.51 | $44.56 | $44.56 | |
Ambetter
| Professional | $43.26 | $43.26 | $43.26 | |
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 | $54.08 | |
CareSource
| Professional | $54.08 | $54.08 | $54.08 | |
Cigna
| Facility | $35.60 | $35.60 | $35.60 | |
Cigna
| Professional | $25.99 | $35.59 | $42.48 | |
Qualchoice
| Professional | $49.75 | $49.75 | $49.75 | |
United
| Professional | $16.18 | $26.14 | $38.10 |