| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $604.25 | $604.25 | $604.25 | |
Aetna
| Professional | $563.28 | $578.29 | $604.25 | |
CareSource
| Facility | $783.13 | $1,578.96 | $2,046.80 | |
CareSource
| Professional | $760.24 | $843.37 | $1,445.78 | |
Cigna
| Facility | $736.69 | $736.69 | $1,411.90 | |
Cigna
| Professional | $537.78 | $537.78 | $5,747.18 | |
Highmark BCBS
| Professional | $743.32 | $743.32 | $743.32 | |
United
| Professional | $447.62 | $592.91 | $972.50 |