| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $310.33 | $310.33 | $310.33 | |
Aetna
| Professional | $224.73 | $310.33 | $310.33 | |
BCBS
| Facility | $219,999.78 | $539,999.46 | $949,999.05 | |
BCBS
| Professional | $482.00 | $637.95 | $708.83 | |
CareSource
| Facility | $562.87 | $562.87 | $580.54 | |
CareSource
| Professional | $562.87 | $562.87 | $562.87 | |
Cigna
| Facility | $347.46 | $347.46 | $446.67 | |
Cigna
| Professional | $253.65 | $347.46 | $436.20 | |
United
| Professional | $171.75 | $255.33 | $347.31 |