| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,612.42 | $4,694.35 | $20,616.08 | |
Aetna
| Professional | $156.69 | $380.36 | $1,060.74 | |
CareSource
| Facility | $189.59 | $209.47 | $228.22 | |
CareSource
| Professional | $202.86 | $202.86 | $202.86 | |
Cigna
| Facility | $304.00 | $304.00 | $304.00 | |
Cigna
| Professional | $202.86 | $717.74 | $2,495.42 | |
Highmark BCBS
| Facility | $3,653.72 | $6,512.92 | $10,241.86 | |
United
| Professional | $666.18 | $1,054.97 | $1,920.42 |