| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.36 | $56.36 | $56.36 | |
Aetna
| Professional | $37.50 | $56.36 | $56.36 | |
BCBS
| Facility | $219,999.78 | $539,999.46 | $949,999.05 | |
BCBS
| Professional | $87.54 | $115.86 | $128.72 | |
CareSource
| Facility | $92.81 | $92.81 | $98.16 | |
CareSource
| Professional | $98.16 | $98.16 | $98.16 | |
Cigna
| Facility | $53.85 | $53.85 | $81.12 | |
Cigna
| Professional | $39.31 | $53.85 | $79.22 | |
United
| Professional | $28.66 | $46.58 | $63.49 |