| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $840.61 | $840.61 | $840.61 | |
Aetna
| Professional | $626.67 | $840.61 | $840.61 | |
BCBS
| Facility | $219,999.78 | $539,999.46 | $949,999.05 | |
BCBS
| Professional | $1,305.60 | $1,728.02 | $1,920.02 | |
CareSource
| Facility | $1,468.32 | $1,468.32 | $1,512.55 | |
CareSource
| Professional | $1,468.32 | $1,468.32 | $1,468.32 | |
Cigna
| Facility | $1,038.85 | $1,038.85 | $1,209.91 | |
Cigna
| Professional | $758.37 | $1,038.85 | $1,181.55 | |
United
| Professional | $446.97 | $681.25 | $909.25 |