| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $6.59 | $77.73 | $388.61 | |
Aetna
| Professional | $2.59 | $2.75 | $2.75 | |
CareSource
| Facility | $32,999.67 | $44,999.55 | $122,362.78 | |
Cigna
| Facility | $2.75 | $85.00 | $85.00 | |
Cigna
| Professional | $2.75 | $2.75 | $14.24 | |
Highmark BCBS
| Facility | $16.13 | $16.13 | $526.66 | |
United
| Professional | $2.70 | $2.70 | $3.91 |