| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $431.96 | $650.70 | $650.70 | |
Aetna
| Professional | $259.18 | $283.37 | $293.73 | |
CareSource
| Facility | $380.13 | $518.36 | $604.75 | |
CareSource
| Professional | $414.68 | $414.68 | $466.52 | |
Cigna
| Facility | $280.77 | $855.48 | $1,036.61 | |
Cigna
| Professional | $599.54 | $648.20 | $1,665.65 | |
Highmark BCBS
| Facility | $628.16 | $628.16 | $628.16 | |
United
| Professional | $155.51 | $207.34 | $636.44 |