| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $117.86 | $1,201.35 | $1,627.42 | |
Aetna
| Professional | $114.45 | $280.87 | $1,467.05 | |
CareSource
| Facility | $126.34 | $140.59 | $153.16 | |
CareSource
| Professional | $136.15 | $136.15 | $1,155.30 | |
Cigna
| Facility | $202.58 | $202.58 | $202.58 | |
Cigna
| Professional | $131.02 | $551.94 | $2,111.98 | |
Highmark BCBS
| Facility | $1,710.52 | $1,710.52 | $1,710.52 | |
United
| Professional | $839.09 | $1,206.19 | $1,899.94 |