| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $278.67 | $278.67 | $278.67 | |
Aetna
| Professional | $214.94 | $278.67 | $278.67 | |
BCBS
| Facility | $219,999.78 | $539,999.46 | $949,999.05 | |
BCBS
| Professional | $432.81 | $572.84 | $636.49 | |
CareSource
| Facility | $455.53 | $455.53 | $518.78 | |
CareSource
| Professional | $455.53 | $455.53 | $455.53 | |
Cigna
| Facility | $297.02 | $297.02 | $401.09 | |
Cigna
| Professional | $216.82 | $297.02 | $391.69 | |
United
| Professional | $151.51 | $227.26 | $306.37 |