| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $474.19 | $474.19 | $474.19 | |
Aetna
| Professional | $340.95 | $474.19 | $670.27 | |
CareSource
| Facility | $488.90 | $957.75 | $1,316.26 | |
CareSource
| Professional | $488.90 | $526.51 | $902.58 | |
Cigna
| Facility | $736.58 | $736.58 | $876.29 | |
Cigna
| Professional | $537.70 | $537.70 | $3,368.94 | |
Highmark BCBS
| Professional | $676.94 | $743.32 | $789.78 | |
United
| Professional | $451.29 | $592.91 | $972.50 |