| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $542.15 | $542.15 | $542.15 | |
Aetna
| Professional | $429.50 | $518.86 | $577.47 | |
CareSource
| Facility | $702.65 | $1,416.69 | $1,836.45 | |
CareSource
| Professional | $682.11 | $756.70 | $1,297.20 | |
Cigna
| Facility | $731.38 | $860.28 | $1,266.79 | |
Cigna
| Professional | $533.91 | $731.38 | $5,156.47 | |
Highmark BCBS
| Professional | $839.52 | $839.52 | $839.52 | |
United
| Professional | $401.62 | $540.80 | $876.48 |