| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $310.33 | $310.33 | $310.33 | |
Aetna
| Professional | $222.29 | $310.33 | $310.33 | |
BCBS
| Facility | $219,999.78 | $539,999.46 | $949,999.05 | |
BCBS
| Professional | $321.68 | $425.75 | $473.06 | |
CareSource
| Facility | $374.81 | $374.81 | $374.81 | |
CareSource
| Professional | $374.81 | $374.81 | $374.81 | |
Cigna
| Facility | $299.85 | $382.03 | $382.03 | |
Cigna
| Professional | $278.88 | $291.11 | $382.03 | |
United
| Professional | $171.75 | $262.20 | $373.26 |