| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $275.17 | $3,554.92 | $13,975.68 | |
Aetna
| Professional | $232.12 | $283.73 | $405.93 | |
CareSource
| Facility | $275.99 | $307.06 | $334.54 | |
CareSource
| Professional | $297.37 | $297.37 | $297.37 | |
Cigna
| Facility | $442.54 | $442.54 | $442.54 | |
Cigna
| Facility | AS | $44.25 | $44.25 | $44.25 |
Cigna
| Professional | $247.81 | $386.61 | $1,020.41 | |
Highmark BCBS
| Facility | $433.61 | $902.07 | $11,538.70 | |
United
| Professional | $308.95 | $452.45 | $616.98 |