| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $386.57 | $1,425.98 | $3,227.70 | |
Aetna
| Professional | $67.00 | $162.05 | $514.46 | |
CareSource
| Facility | $81.51 | $90.36 | $98.46 | |
CareSource
| Professional | $87.52 | $87.52 | $87.52 | |
Cigna
| Facility | $130.69 | $130.69 | $130.69 | |
Cigna
| Professional | $87.51 | $354.34 | $1,327.16 | |
Highmark BCBS
| Facility | $414.32 | $1,743.86 | $3,110.30 | |
United
| Professional | $344.37 | $557.05 | $1,024.19 |