| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $115.78 | $3,512.78 | $7,749.36 | |
Aetna
| Professional | $70.67 | $115.78 | $191.05 | |
CareSource
| Facility | $78.90 | $94.68 | $103.15 | |
CareSource
| Professional | $91.69 | $91.69 | $91.69 | |
Cigna
| Facility | $138.81 | $138.81 | $138.81 | |
Cigna
| Professional | $77.61 | $121.71 | $300.93 | |
Highmark BCBS
| Facility | $865.58 | $2,486.69 | $7,549.06 | |
Highmark BCBS
| Professional | $108.79 | $167.75 | $174.40 | |
United
| Professional | $94.57 | $140.66 | $185.60 |