| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $416.78 | $1,094.40 | $1,462.50 | |
Aetna
| Professional | $312.58 | $341.76 | $530.30 | |
CareSource
| Facility | $416.78 | $562.65 | $687.69 | |
CareSource
| Professional | $416.78 | $562.65 | $562.65 | |
Cigna
| Facility | $338.64 | $894.54 | $1,250.25 | |
Cigna
| Professional | $223.40 | $781.78 | $2,008.88 | |
Highmark BCBS
| Facility | $829.95 | $1,103.71 | $1,887.02 | |
United
| Professional | $187.55 | $250.07 | $666.85 |