| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $108.83 | $108.83 | $108.83 | |
Aetna
| Professional | $82.68 | $108.83 | $108.83 | |
BCBS
| Facility | $219,999.78 | $539,999.46 | $949,999.05 | |
BCBS
| Professional | $162.38 | $214.92 | $238.80 | |
CareSource
| Facility | $141.29 | $141.29 | $141.29 | |
CareSource
| Professional | $141.29 | $141.29 | $141.29 | |
Cigna
| Facility | $113.03 | $133.72 | $133.72 | |
Cigna
| Professional | $97.62 | $117.71 | $133.72 | |
United
| Professional | $65.12 | $91.09 | $131.68 |