| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $399.22 | $399.22 | $399.22 | |
Aetna
| Professional | $342.43 | $399.22 | $399.22 | |
BCBS
| Facility | $219,999.78 | $539,999.46 | $949,999.05 | |
BCBS
| Professional | $620.05 | $820.67 | $911.85 | |
CareSource
| Facility | $718.26 | $718.26 | $826.47 | |
CareSource
| Professional | $718.26 | $718.26 | $718.26 | |
Cigna
| Facility | $512.80 | $512.80 | $574.61 | |
Cigna
| Professional | $374.35 | $512.80 | $561.14 | |
United
| Professional | $238.89 | $355.13 | $479.92 |