| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $676.08 | $724.44 | $891.25 | |
CareSource
| Facility | $87.10 | $89.13 | $831.76 | |
CareSource
| Professional | $95.50 | $95.50 | $891.25 | |
Cigna
| Facility | $794.33 | $794.33 | $812.83 | |
Cigna
| Professional | $107.15 | $794.33 | $954.99 | |
Highmark BCBS
| Professional | $758.58 | $758.58 | $851.14 | |
United
| Facility | $87.10 | $660.69 | $1,047.13 | |
United
| Professional | $489.78 | $676.08 | $954.99 |