| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $196.79 | $196.79 | $196.79 | |
Aetna
| Professional | $146.71 | $196.79 | $196.79 | |
BCBS
| Facility | $219,999.78 | $539,999.46 | $949,999.05 | |
BCBS
| Professional | $305.64 | $404.54 | $449.49 | |
CareSource
| Facility | $343.78 | $343.78 | $354.10 | |
CareSource
| Professional | $343.78 | $343.78 | $343.78 | |
Cigna
| Facility | $212.98 | $212.98 | $283.25 | |
Cigna
| Professional | $155.47 | $212.98 | $276.61 | |
United
| Professional | $104.64 | $159.49 | $213.36 |