| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $698.42 | $698.42 | $698.42 | |
Aetna
| Professional | $234.14 | $240.38 | $267.24 | |
CareSource
| Facility | $325.51 | $656.33 | $850.80 | |
CareSource
| Professional | $316.01 | $350.55 | $600.94 | |
Cigna
| Facility | $278.04 | $278.04 | $586.85 | |
Cigna
| Professional | $202.97 | $370.33 | $444.53 | |
Highmark BCBS
| Facility | $1,063.81 | $1,063.81 | $1,063.81 | |
United
| Facility | $220.01 | $220.01 | $220.01 | |
United
| Professional | $186.05 | $246.45 | $628.21 |