| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $479.62 | $731.13 | $877.35 | |
Aetna
| Professional | $438.68 | $479.62 | $497.17 | |
CareSource
| Facility | $643.39 | $877.35 | $1,023.58 | |
CareSource
| Professional | $701.88 | $701.88 | $789.62 | |
Cigna
| Facility | $475.24 | $701.88 | $1,754.58 | |
Cigna
| Professional | $282.56 | $988.81 | $2,819.22 | |
Highmark BCBS
| Facility | $2,849.69 | $2,849.69 | $2,849.69 | |
United
| Professional | $263.20 | $350.94 | $974.84 |