| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $232.40 | $1,482.38 | $5,352.99 | |
Aetna
| Professional | $113.77 | $142.08 | $273.85 | |
CareSource
| Facility | $126.20 | $151.44 | $165.00 | |
CareSource
| Professional | $146.66 | $146.66 | $146.66 | |
Cigna
| Facility | $222.46 | $222.46 | $222.46 | |
Cigna
| Professional | $125.55 | $176.55 | $417.78 | |
Highmark BCBS
| Facility | $707.44 | $928.01 | $3,742.90 | |
Highmark BCBS
| Professional | $228.20 | $238.65 | $279.08 | |
United
| Professional | $129.19 | $191.61 | $256.66 |