| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $82.38 | $16,359.30 | $45,865.19 | |
Aetna
| Professional | $50.74 | $51.24 | $69.68 | |
CareSource
| Facility | $50.74 | $50.74 | $76.11 | |
CareSource
| Professional | $117.65 | $117.65 | $117.65 | |
Cigna
| Facility | $47.87 | $50.74 | $96.02 | |
Cigna
| Professional | $50.74 | $50.74 | $91.84 | |
Highmark BCBS
| Facility | $246.96 | $246.96 | $246.96 | |
United
| Professional | $50.74 | $50.74 | $115.12 |