| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $521.02 | $3,316.32 | $9,784.45 | |
Aetna
| Professional | $104.59 | $214.43 | $418.38 | |
CareSource
| Facility | $188.05 | $206.50 | $245.85 | |
CareSource
| Professional | $218.53 | $218.53 | $218.53 | |
Cigna
| Facility | $331.13 | $331.13 | $331.13 | |
Cigna
| Professional | $209.07 | $331.07 | $941.68 | |
Highmark BCBS
| Facility | $1,844.32 | $3,512.82 | $9,085.87 | |
United
| Professional | $206.22 | $283.56 | $535.88 |