| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $314.39 | $416.70 | $416.70 | |
Aetna
| Professional | $261.42 | $285.82 | $296.27 | |
CareSource
| Facility | $348.56 | $470.56 | $575.12 | |
CareSource
| Professional | $348.56 | $470.56 | $470.56 | |
Cigna
| Facility | $283.20 | $704.89 | $1,045.57 | |
Cigna
| Professional | $502.44 | $543.21 | $1,680.06 | |
Highmark BCBS
| Facility | $463.00 | $463.00 | $463.00 | |
United
| Professional | $156.85 | $197.52 | $557.70 |