| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,611.50 | $4,912.43 | $8,610.40 | |
Aetna
| Professional | $258.45 | $624.35 | $962.65 | |
CareSource
| Facility | $565.86 | $679.03 | $848.79 | |
CareSource
| Professional | $565.86 | $848.79 | $1,311.97 | |
Cigna
| Facility | $675.90 | $675.90 | $675.90 | |
Cigna
| Facility | AS | $67.26 | $67.26 | $67.26 |
Cigna
| Professional | $575.96 | $876.35 | $1,736.35 | |
Highmark BCBS
| Facility | $1,050.04 | $5,357.06 | $18,509.75 | |
Highmark BCBS
| Professional | $685.99 | $934.41 | $1,368.38 | |
United
| Professional | $500.50 | $719.44 | $1,004.87 |