| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58.92 | $124.87 | $1,400.00 | |
Aetna
| Professional | $54.18 | $107.53 | $204.63 | |
CareSource
| Facility | $60.50 | $73.48 | $88.97 | |
CareSource
| Professional | $71.17 | $237.22 | $279.08 | |
Cigna
| Facility | $106.46 | $106.46 | $106.46 | |
Cigna
| Professional | $59.31 | $129.97 | $278.73 | |
Highmark BCBS
| Facility | $309.25 | $309.25 | $415.00 | |
Highmark BCBS
| Professional | $125.82 | $177.64 | $185.03 | |
United
| Professional | $87.33 | $126.84 | $169.20 |