| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.11 | $549.54 | $1,412.54 | |
Aetna
| Professional | $77.62 | $251.19 | $707.95 | |
CareSource
| Facility | $95.50 | $95.50 | $114.82 | |
CareSource
| Professional | $100.00 | $100.00 | $100.00 | |
Cigna
| Facility | $34.67 | $151.36 | $151.36 | |
Cigna
| Professional | $85.11 | $537.03 | $3,235.94 | |
Highmark BCBS
| Facility | $2,344.23 | $2,344.23 | $2,344.23 | |
United
| Facility | $457.09 | $457.09 | $457.09 | |
United
| Professional | $77.62 | $389.05 | $1,288.25 |