| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $903.04 | $903.04 | $903.04 | |
Aetna
| Professional | $739.88 | $903.04 | $903.04 | |
BCBS
| Facility | $219,999.78 | $539,999.46 | $949,999.05 | |
BCBS
| Professional | $1,402.57 | $1,856.35 | $2,062.61 | |
CareSource
| Facility | $1,596.38 | $1,596.38 | $1,900.75 | |
CareSource
| Professional | $1,596.38 | $1,596.38 | $1,596.38 | |
Cigna
| Facility | $1,030.36 | $1,030.36 | $1,299.76 | |
Cigna
| Professional | $752.17 | $752.17 | $1,220.98 | |
United
| Professional | $530.94 | $789.31 | $1,073.64 |