| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $704.46 | $704.46 | $704.46 | |
Aetna
| Professional | $525.19 | $704.46 | $704.46 | |
BCBS
| Facility | $219,999.78 | $539,999.46 | $949,999.05 | |
BCBS
| Professional | $1,094.15 | $1,448.14 | $1,609.04 | |
CareSource
| Facility | $1,230.58 | $1,230.58 | $1,267.60 | |
CareSource
| Professional | $1,230.58 | $1,230.58 | $1,230.58 | |
Cigna
| Facility | $741.89 | $741.89 | $1,013.94 | |
Cigna
| Professional | $541.58 | $741.89 | $990.18 | |
United
| Professional | $374.59 | $570.91 | $763.70 |