| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $531.10 | $2,726.00 | $5,491.48 | |
Aetna
| Professional | $99.93 | $228.22 | $290.55 | |
CareSource
| Facility | $100.95 | $121.14 | $166.57 | |
CareSource
| Professional | $227.82 | $364.51 | $528.21 | |
Cigna
| Facility | $182.22 | $182.22 | $182.22 | |
Cigna
| Professional | $114.13 | $252.96 | $500.46 | |
Highmark BCBS
| Facility | $662.94 | $1,751.30 | $3,947.37 | |
Highmark BCBS
| Professional | $149.97 | $149.97 | $149.97 | |
United
| Professional | $192.43 | $318.95 | $443.20 |