| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,007.82 | $3,060.70 | $3,672.84 | |
Aetna
| Professional | $1,836.42 | $2,081.28 | $2,289.40 | |
CareSource
| Facility | $2,693.42 | $3,672.84 | $4,284.97 | |
CareSource
| Professional | $2,938.27 | $2,938.27 | $3,305.56 | |
Cigna
| Facility | $1,989.45 | $2,938.27 | $7,345.05 | |
Cigna
| Professional | $956.97 | $3,348.94 | $11,802.06 | |
Highmark BCBS
| Facility | $3,168.85 | $3,168.85 | $3,168.85 | |
United
| Facility | $1,028.40 | $1,028.40 | $1,028.40 | |
United
| Professional | $1,028.40 | $1,101.84 | $3,917.70 |