| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $354.81 | $4,570.88 | $16,218.10 | |
Aetna
| Professional | $72.44 | $177.83 | $489.78 | |
CareSource
| Facility | $104.71 | $104.71 | $104.71 | |
CareSource
| Professional | $93.33 | $93.33 | $93.33 | |
Cigna
| Facility | $34.67 | $138.04 | $138.04 | |
Cigna
| Professional | $77.62 | $354.81 | $2,187.76 | |
Highmark BCBS
| Facility | $1,584.89 | $1,584.89 | $2,290.87 | |
Highmark BCBS
| Professional | $107.15 | $107.15 | $107.15 | |
United
| Facility | $457.09 | $457.09 | $457.09 | |
United
| Professional | $72.44 | $263.03 | $851.14 |