| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $623.69 | $623.69 | $623.69 | |
Aetna
| Professional | $581.41 | $596.90 | $663.79 | |
CareSource
| Facility | $808.34 | $1,629.77 | $2,112.67 | |
CareSource
| Professional | $784.71 | $870.52 | $1,492.32 | |
Cigna
| Facility | $756.07 | $756.07 | $1,457.34 | |
Cigna
| Professional | $42.43 | $756.07 | $5,933.47 | |
Highmark BCBS
| Professional | $845.07 | $845.07 | $845.07 | |
United
| Professional | $462.14 | $602.27 | $1,003.79 |