| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $344.57 | $344.57 | $344.57 | |
Aetna
| Professional | $344.57 | $344.57 | $383.49 | |
CareSource
| Facility | $462.26 | $948.63 | $1,229.71 | |
CareSource
| Professional | $456.75 | $497.82 | $853.40 | |
Cigna
| Facility | $440.05 | $440.05 | $857.82 | |
Cigna
| Professional | $321.24 | $440.05 | $3,595.38 | |
Highmark BCBS
| Facility | $912.91 | $912.91 | $912.91 | |
Highmark BCBS
| Professional | $446.58 | $446.58 | $548.98 | |
United
| Professional | $350.56 | $502.25 | $610.36 |