| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $466.24 | $1,796.34 | $6,093.55 | |
Aetna
| Professional | $86.56 | $122.79 | $216.20 | |
CareSource
| Facility | $100.59 | $120.71 | $131.50 | |
CareSource
| Professional | $116.89 | $116.89 | $116.89 | |
Cigna
| Facility | $178.11 | $178.11 | $178.11 | |
Cigna
| Professional | $100.19 | $142.06 | $329.95 | |
Highmark BCBS
| Facility | $924.67 | $2,157.83 | $6,711.14 | |
Highmark BCBS
| Professional | $184.86 | $184.86 | $184.86 | |
United
| Professional | $103.80 | $157.63 | $222.05 |