| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $313.63 | $465.30 | $773.62 | |
Aetna
| Professional | $255.62 | $335.55 | $385.70 | |
CareSource
| Facility | $443.26 | $443.26 | $44,999.55 | |
Cigna
| Facility | $313.63 | $368.58 | $368.58 | |
Cigna
| Professional | $368.58 | $368.58 | $468.60 | |
Highmark BCBS
| Facility | $313.29 | $447.28 | $928.26 | |
Highmark BCBS
| Professional | $426.18 | $426.18 | $701.06 | |
United
| Professional | $329.09 | $394.76 | $420.21 |