| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $387.24 | $387.24 | $387.24 | |
Aetna
| Professional | $288.69 | $387.24 | $387.24 | |
BCBS
| Facility | $219,999.78 | $539,999.46 | $949,999.05 | |
BCBS
| Professional | $601.45 | $796.04 | $884.49 | |
CareSource
| Facility | $676.39 | $676.39 | $696.78 | |
CareSource
| Professional | $676.39 | $676.39 | $676.39 | |
Cigna
| Facility | $386.84 | $386.84 | $557.37 | |
Cigna
| Professional | $282.39 | $386.83 | $544.29 | |
United
| Professional | $205.90 | $313.83 | $418.86 |