| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $512.86 | $512.86 | $512.86 | |
Aetna
| Professional | $407.38 | $501.19 | $758.58 | |
CareSource
| Facility | $660.69 | $660.69 | $1,380.38 | |
CareSource
| Professional | $707.95 | $707.95 | $1,230.27 | |
Cigna
| Facility | $707.95 | $1,621.81 | $1,621.81 | |
Cigna
| Professional | $512.86 | $512.86 | $4,897.79 | |
Highmark BCBS
| Professional | $630.96 | $630.96 | $691.83 | |
United
| Facility | $446.68 | $446.68 | $1,047.13 | |
United
| Professional | $407.38 | $537.03 | $812.83 |