| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.23 | $125.86 | $125.86 | |
Aetna
| Professional | $91.61 | $125.86 | $125.86 | |
BCBS
| Facility | $219,999.78 | $539,999.46 | $949,999.05 | |
BCBS
| Professional | $195.49 | $258.73 | $287.48 | |
CareSource
| Facility | $201.02 | $201.02 | $224.52 | |
CareSource
| Professional | $201.02 | $201.02 | $201.02 | |
Cigna
| Facility | $125.61 | $125.61 | $181.16 | |
Cigna
| Professional | $91.70 | $91.70 | $170.19 | |
United
| Professional | $66.86 | $105.29 | $136.15 |