| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $712.52 | $812.16 | $925.90 | |
Aetna
| Professional | $211.93 | $233.25 | $284.87 | |
CareSource
| Facility | $277.89 | $277.89 | $329.00 | |
CareSource
| Professional | $292.44 | $292.44 | $292.44 | |
Cigna
| Facility | $287.45 | $287.45 | $287.45 | |
Cigna
| Professional | $203.47 | $260.31 | $1,200.52 | |
Highmark BCBS
| Facility | $344.67 | $518.96 | $826.77 | |
Highmark BCBS
| Professional | $259.45 | $259.45 | $259.45 | |
United
| Professional | $99.46 | $192.71 | $362.06 |