| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $413.28 | $630.00 | $756.00 | |
Aetna
| Professional | $378.00 | $413.28 | $428.40 | |
CareSource
| Facility | $554.40 | $756.00 | $882.00 | |
CareSource
| Professional | $604.79 | $604.79 | $680.40 | |
Cigna
| Facility | $409.50 | $604.79 | $1,511.87 | |
Cigna
| Professional | $579.03 | $723.78 | $2,429.28 | |
Highmark BCBS
| Facility | $2,332.56 | $2,332.56 | $2,332.56 | |
Highmark BCBS
| Professional | $302.39 | $302.39 | $302.39 | |
United
| Professional | $211.68 | $226.80 | $680.40 |