| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $669.60 | $669.60 | $669.60 | |
Aetna
| Professional | $439.25 | $669.60 | $670.27 | |
BCBS
| Facility | $219,999.78 | $539,999.46 | $949,999.05 | |
BCBS
| Professional | $645.53 | $854.38 | $949.31 | |
CareSource
| Facility | $752.15 | $752.15 | $752.15 | |
CareSource
| Professional | $752.15 | $752.15 | $752.15 | |
Cigna
| Facility | $601.72 | $736.58 | $761.97 | |
Cigna
| Professional | $537.70 | $537.70 | $736.58 | |
United
| Professional | $356.04 | $534.05 | $782.74 |