| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $675.85 | $675.85 | $675.85 | |
Aetna
| Professional | $503.84 | $675.85 | $675.85 | |
BCBS
| Facility | $219,999.78 | $539,999.46 | $949,999.05 | |
BCBS
| Professional | $1,049.71 | $1,389.32 | $1,543.69 | |
CareSource
| Facility | $1,180.47 | $1,180.47 | $1,216.05 | |
CareSource
| Professional | $1,180.47 | $1,180.47 | $1,180.47 | |
Cigna
| Facility | $944.53 | $944.53 | $972.76 | |
Cigna
| Professional | $689.51 | $944.53 | $949.96 | |
United
| Professional | $359.36 | $547.72 | $729.57 |