| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $243.36 | $243.36 | $243.36 | |
Aetna
| Professional | $243.36 | $256.02 | $349.75 | |
BCBS
| Facility | $219,999.78 | $519,999.48 | $949,999.05 | |
BCBS
| Professional | $400.63 | $530.24 | $589.16 | |
CareSource
| Facility | $46.68 | $46.68 | $48.79 | |
CareSource
| Professional | $46.68 | $46.68 | $48.79 | |
Cigna
| Facility | $43.07 | $43.07 | $43.07 | |
Cigna
| Professional | $34.33 | $34.33 | $592.28 | |
United
| Professional | $15.45 | $23.71 | $51.63 |