| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $645.65 | $1,412.54 | $2,818.38 | |
Aetna
| Professional | $602.56 | $724.44 | $1,513.56 | |
CareSource
| Facility | $724.44 | $724.44 | $870.96 | |
CareSource
| Professional | $776.25 | $776.25 | $776.25 | |
Cigna
| Facility | $1,174.90 | $1,174.90 | $1,659.59 | |
Cigna
| Professional | $645.65 | $954.99 | $4,365.16 | |
Highmark BCBS
| Facility | $3,981.07 | $3,981.07 | $10,715.19 | |
United
| Facility | $2,884.03 | $2,884.03 | $10,000.00 | |
United
| Professional | $588.84 | $851.14 | $1,230.27 |