| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.47 | $56.47 | $56.47 | |
Aetna
| Professional | $37.04 | $56.47 | $56.47 | |
BCBS
| Facility | $219,999.78 | $539,999.46 | $949,999.05 | |
BCBS
| Professional | $54.45 | $72.06 | $80.08 | |
CareSource
| Facility | $63.45 | $63.45 | $63.45 | |
CareSource
| Professional | $63.45 | $63.45 | $63.45 | |
Cigna
| Facility | $50.76 | $57.67 | $57.67 | |
Cigna
| Professional | $42.10 | $42.10 | $76.36 | |
United
| Professional | $30.04 | $45.05 | $61.09 |