| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $707.64 | $814.95 | $884.55 | |
CareSource
| Facility | $88.06 | $89.53 | $833.54 | |
CareSource
| Professional | $88.06 | $96.42 | $897.66 | |
Cigna
| Facility | $795.00 | $795.00 | $1,497.62 | |
Cigna
| Professional | $106.49 | $795.00 | $950.31 | |
Highmark BCBS
| Professional | $752.30 | $752.30 | $752.30 | |
United
| Professional | $444.07 | $674.82 | $949.90 |