| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $604.08 | $604.08 | $604.08 | |
Aetna
| Professional | $450.34 | $604.08 | $604.08 | |
BCBS
| Facility | $219,999.78 | $539,999.46 | $949,999.05 | |
BCBS
| Professional | $938.25 | $1,241.80 | $1,379.78 | |
CareSource
| Facility | $1,055.16 | $1,055.16 | $1,086.92 | |
CareSource
| Professional | $1,055.16 | $1,055.16 | $1,055.16 | |
Cigna
| Facility | $702.03 | $702.03 | $869.47 | |
Cigna
| Professional | $512.48 | $702.03 | $849.10 | |
United
| Professional | $321.20 | $489.56 | $653.41 |