| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $182.45 | $4,864.50 | $20,566.25 | |
Aetna
| Professional | $153.05 | $203.95 | $372.42 | |
CareSource
| Facility | $176.78 | $212.14 | $231.12 | |
CareSource
| Professional | $205.44 | $205.44 | $205.44 | |
Cigna
| Facility | $307.64 | $307.64 | $307.64 | |
Cigna
| Professional | $171.20 | $239.68 | $592.04 | |
Highmark BCBS
| Facility | $1,767.52 | $7,650.42 | $7,997.40 | |
United
| Professional | $180.43 | $262.24 | $374.74 |