| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $354.81 | $1,621.81 | $3,235.94 | |
Aetna
| Professional | $67.61 | $165.96 | $489.78 | |
CareSource
| Facility | $81.28 | $81.28 | $97.72 | |
CareSource
| Professional | $87.10 | $87.10 | $87.10 | |
Cigna
| Facility | $34.67 | $131.83 | $131.83 | |
Cigna
| Professional | $74.13 | $346.74 | $2,187.76 | |
Highmark BCBS
| Facility | $416.87 | $2,041.74 | $3,090.30 | |
Highmark BCBS
| Professional | $112.20 | $112.20 | $794.33 | |
United
| Facility | $457.09 | $457.09 | $457.09 | |
United
| Professional | $69.18 | $257.04 | $831.76 |