| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $629.25 | $755.10 | $755.10 | |
Aetna
| Professional | $377.55 | $377.55 | $407.75 | |
CareSource
| Facility | $679.59 | $2,831.63 | $13,591.80 | |
CareSource
| Professional | $604.08 | $679.59 | $119,998.80 | |
Cigna
| Facility | $409.01 | $979.90 | $1,510.07 | |
Cigna
| Professional | $525.00 | $656.25 | $2,426.39 | |
Highmark BCBS
| Facility | $466.31 | $1,644.86 | $2,495.94 | |
United
| Professional | $211.43 | $226.53 | $729.93 |