| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $565.69 | $565.69 | $565.69 | |
Aetna
| Professional | $476.87 | $541.40 | $575.39 | |
CareSource
| Facility | $737.52 | $1,478.22 | $1,916.22 | |
CareSource
| Professional | $711.74 | $794.26 | $1,361.58 | |
Cigna
| Facility | $632.51 | $632.51 | $1,329.67 | |
Cigna
| Professional | $461.73 | $632.51 | $4,946.33 | |
Highmark BCBS
| Professional | $875.99 | $875.99 | $875.99 | |
United
| Professional | $385.03 | $546.27 | $910.45 |