| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $268.06 | $268.06 | $268.06 | |
Aetna
| Professional | $183.17 | $268.06 | $268.06 | |
BCBS
| Facility | $219,999.78 | $539,999.46 | $949,999.05 | |
BCBS
| Professional | $416.34 | $551.04 | $612.27 | |
CareSource
| Facility | $424.86 | $424.86 | $463.01 | |
CareSource
| Professional | $424.86 | $424.86 | $424.86 | |
Cigna
| Facility | $295.70 | $295.70 | $385.82 | |
Cigna
| Professional | $215.87 | $295.70 | $376.78 | |
United
| Facility | $161.79 | $208.12 | $209.99 | |
United
| Professional | $139.99 | $217.24 | $290.58 |