| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.98 | $284.89 | $2,436.48 | |
Aetna
| Professional | $36.59 | $62.75 | $354.44 | |
CareSource
| Facility | $52.86 | $65.06 | $78.77 | |
CareSource
| Professional | $63.01 | $134.25 | $157.94 | |
Cigna
| Facility | $92.48 | $92.48 | $92.48 | |
Cigna
| Professional | $52.51 | $74.08 | $192.87 | |
Highmark BCBS
| Facility | $3,819.95 | $3,819.95 | $5,788.06 | |
United
| Professional | $56.81 | $84.59 | $102.03 |