| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $233.50 | $233.50 | $233.50 | |
Aetna
| Professional | $160.69 | $233.50 | $233.50 | |
BCBS
| Facility | $219,999.78 | $539,999.46 | $949,999.05 | |
BCBS
| Professional | $225.11 | $297.95 | $331.05 | |
CareSource
| Facility | $262.27 | $262.27 | $262.27 | |
CareSource
| Professional | $262.27 | $262.27 | $262.27 | |
Cigna
| Facility | $209.82 | $278.10 | $278.10 | |
Cigna
| Professional | $203.01 | $203.72 | $278.10 | |
United
| Professional | $124.16 | $197.27 | $272.95 |