| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $268.06 | $268.06 | $268.06 | |
Aetna
| Professional | $181.19 | $268.06 | $268.06 | |
BCBS
| Facility | $219,999.78 | $539,999.46 | $949,999.05 | |
BCBS
| Professional | $252.46 | $334.14 | $371.27 | |
CareSource
| Facility | $294.16 | $294.16 | $294.16 | |
CareSource
| Professional | $294.16 | $294.16 | $294.16 | |
Cigna
| Facility | $235.33 | $312.30 | $312.30 | |
Cigna
| Professional | $227.98 | $228.47 | $312.30 | |
United
| Professional | $139.99 | $214.13 | $310.58 |