| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $335.11 | $335.11 | $335.11 | |
Aetna
| Professional | $249.81 | $335.11 | $335.11 | |
BCBS
| Facility | $219,999.78 | $539,999.46 | $949,999.05 | |
BCBS
| Professional | $520.47 | $688.86 | $765.40 | |
CareSource
| Facility | $593.98 | $593.98 | $602.92 | |
CareSource
| Professional | $593.98 | $593.98 | $593.98 | |
Cigna
| Facility | $380.61 | $380.61 | $482.32 | |
Cigna
| Professional | $277.85 | $277.85 | $453.09 | |
United
| Professional | $178.52 | $271.58 | $363.29 |