| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $407.38 | $758.58 | $758.58 | |
Aetna
| Professional | $338.84 | $398.11 | $467.74 | |
CareSource
| Facility | $676.08 | $676.08 | $676.08 | |
CareSource
| Professional | $602.56 | $602.56 | $602.56 | |
Cigna
| Facility | $416.87 | $977.24 | $1,513.56 | |
Cigna
| Professional | $524.81 | $2,398.83 | $2,398.83 | |
Highmark BCBS
| Facility | $478.63 | $1,659.59 | $2,511.89 | |
United
| Facility | $302.00 | $302.00 | $302.00 | |
United
| Professional | $213.80 | $229.09 | $501.19 |