| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $193.06 | $193.06 | $193.06 | |
Aetna
| Professional | $132.90 | $193.06 | $193.06 | |
BCBS
| Facility | $219,999.78 | $539,999.46 | $949,999.05 | |
BCBS
| Professional | $186.16 | $246.39 | $273.77 | |
CareSource
| Facility | $216.91 | $216.91 | $216.91 | |
CareSource
| Professional | $216.91 | $216.91 | $216.91 | |
Cigna
| Facility | $173.53 | $211.82 | $211.82 | |
Cigna
| Professional | $154.63 | $168.47 | $211.82 | |
United
| Professional | $102.68 | $163.12 | $233.21 |