| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,539.72 | $2,000.32 | $16,183.04 | |
Aetna
| Professional | $72.00 | $173.25 | $573.23 | |
CareSource
| Facility | $95.41 | $95.41 | $103.95 | |
CareSource
| Professional | $92.40 | $92.40 | $92.40 | |
Cigna
| Facility | $138.22 | $138.22 | $138.22 | |
Cigna
| Professional | $92.40 | $361.25 | $1,380.91 | |
Highmark BCBS
| Facility | $1,060.08 | $1,601.23 | $2,470.08 | |
Highmark BCBS
| Professional | $107.60 | $107.60 | $107.60 | |
United
| Professional | $354.52 | $542.03 | $995.76 |