| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $308.43 | $308.43 | $308.43 | |
BCBS
| Facility | $149,999.85 | $399,999.60 | $999,999.00 | |
BCBS
| Professional | $522.53 | $691.59 | $768.43 | |
CareSource
| Facility | $60.89 | $60.89 | $64.33 | |
CareSource
| Professional | $60.89 | $60.89 | $64.33 | |
Cigna
| Facility | $283.73 | $283.73 | $427.05 | |
Cigna
| Professional | $47.85 | $283.73 | $423.43 | |
United
| Professional | $202.32 | $313.05 | $448.58 |