| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $302.00 | $1,778.28 | $1,778.28 | |
Aetna
| Professional | $275.42 | $562.34 | $1,071.52 | |
CareSource
| Facility | $331.13 | $398.11 | $512.86 | |
CareSource
| Professional | $575.44 | $1,148.15 | $1,412.54 | |
Cigna
| Facility | $34.67 | $537.03 | $537.03 | |
Cigna
| Professional | $302.00 | $602.56 | $3,019.95 | |
Highmark BCBS
| Facility | $1,412.54 | $1,412.54 | $1,412.54 | |
Highmark BCBS
| Professional | $602.56 | $794.33 | $891.25 | |
United
| Facility | $457.09 | $457.09 | $2,041.74 | |
United
| Professional | $275.42 | $489.78 | $812.83 |