| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $177.79 | $1,773.78 | $1,773.78 | |
Aetna
| Professional | $175.53 | $352.36 | $717.51 | |
CareSource
| Facility | $181.15 | $220.06 | $266.39 | |
CareSource
| Professional | $213.12 | $718.18 | $844.90 | |
Cigna
| Facility | $319.83 | $319.83 | $319.83 | |
Cigna
| Professional | $178.18 | $395.57 | $880.90 | |
Highmark BCBS
| Facility | $1,419.88 | $1,419.88 | $1,419.88 | |
Highmark BCBS
| Professional | $506.29 | $506.29 | $608.70 | |
United
| Professional | $296.70 | $451.61 | $664.35 |