| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $389.69 | $389.69 | $389.69 | |
Aetna
| Professional | $383.71 | $411.37 | $452.00 | |
CareSource
| Facility | $593.61 | $1,075.60 | $1,394.31 | |
CareSource
| Professional | $517.89 | $639.27 | $1,095.89 | |
Cigna
| Facility | $460.00 | $460.00 | $1,070.20 | |
Cigna
| Professional | $335.80 | $460.00 | $3,928.20 | |
Highmark BCBS
| Facility | $229.48 | $311.94 | $1,813.16 | |
Highmark BCBS
| Professional | $506.37 | $557.73 | $637.40 | |
United
| Professional | $286.39 | $397.49 | $662.49 |