| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $293.87 | $776.70 | $776.70 | |
Aetna
| Professional | $244.35 | $263.89 | $267.16 | |
CareSource
| Facility | $325.80 | $439.83 | $537.57 | |
CareSource
| Professional | $325.80 | $407.25 | $439.83 | |
Cigna
| Facility | $264.70 | $528.49 | $977.32 | |
Cigna
| Professional | $65.64 | $467.72 | $1,570.36 | |
Highmark BCBS
| Facility | $519.78 | $572.62 | $572.62 | |
United
| Professional | $63.55 | $114.03 | $204.26 |