| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $549.16 | $549.16 | $549.16 | |
Aetna
| Professional | $467.82 | $583.88 | $791.01 | |
CareSource
| Facility | $584.02 | $1,144.08 | $1,572.36 | |
CareSource
| Professional | $584.02 | $628.94 | $1,078.19 | |
Cigna
| Facility | $812.83 | $812.83 | $1,046.78 | |
Cigna
| Professional | $593.37 | $812.83 | $4,015.83 | |
Highmark BCBS
| Professional | $718.80 | $718.80 | $864.73 | |
United
| Professional | $543.83 | $692.15 | $1,050.44 |