| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $265.36 | $1,255.94 | $1,400.00 | |
Aetna
| Professional | $265.36 | $391.17 | $1,740.67 | |
CareSource
| Facility | $267.32 | $302.93 | $430.19 | |
CareSource
| Professional | $293.38 | $293.38 | $293.38 | |
Cigna
| Facility | $428.65 | $428.65 | $428.65 | |
Cigna
| Professional | $310.95 | $1,163.07 | $3,639.48 | |
Highmark BCBS
| Facility | $5,016.62 | $5,016.62 | $5,016.62 | |
United
| Professional | $1,141.46 | $1,779.80 | $3,168.27 |