| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $407.27 | $407.27 | $407.27 | |
Aetna
| Professional | $290.85 | $407.27 | $407.27 | |
BCBS
| Facility | $219,999.78 | $539,999.46 | $949,999.05 | |
BCBS
| Professional | $632.54 | $837.20 | $930.22 | |
CareSource
| Facility | $702.69 | $702.69 | $711.17 | |
CareSource
| Professional | $702.69 | $702.69 | $702.69 | |
Cigna
| Facility | $564.36 | $564.36 | $586.17 | |
Cigna
| Professional | $411.98 | $564.36 | $572.44 | |
United
| Professional | $222.28 | $365.55 | $513.79 |