| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $443.44 | $443.44 | $443.44 | |
Aetna
| Professional | $386.39 | $512.85 | $615.59 | |
CareSource
| Facility | $464.74 | $965.22 | $1,251.22 | |
CareSource
| Professional | $464.74 | $500.49 | $857.98 | |
Cigna
| Facility | $636.97 | $712.60 | $832.98 | |
Cigna
| Professional | $464.99 | $636.97 | $3,248.20 | |
Highmark BCBS
| Professional | $732.96 | $732.96 | $732.96 | |
United
| Professional | $428.99 | $546.47 | $924.80 |