| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $401.39 | $401.39 | $401.39 | |
BCBS
| Facility | $149,999.85 | $399,999.60 | $999,999.00 | |
BCBS
| Professional | $660.85 | $874.66 | $971.84 | |
CareSource
| Facility | $77.00 | $577.50 | $784.72 | |
CareSource
| Professional | $77.00 | $577.50 | $784.72 | |
Cigna
| Facility | $647.96 | $647.96 | $647.96 | |
Cigna
| Professional | $473.01 | $647.96 | $647.96 | |
United
| Professional | $252.78 | $380.20 | $527.76 |