| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $466.11 | $466.11 | $466.11 | |
Aetna
| Professional | $361.68 | $466.11 | $466.11 | |
BCBS
| Facility | $219,999.78 | $539,999.46 | $949,999.05 | |
BCBS
| Professional | $723.93 | $958.15 | $1,064.60 | |
CareSource
| Facility | $872.92 | $872.92 | $980.56 | |
CareSource
| Professional | $980.56 | $980.56 | $980.56 | |
Cigna
| Facility | $579.51 | $579.51 | $670.86 | |
Cigna
| Professional | $423.04 | $579.51 | $655.14 | |
United
| Professional | $270.89 | $406.33 | $670.86 |