| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $146.33 | $856.34 | $5,866.54 | |
Aetna
| Professional | $99.84 | $138.87 | $232.23 | |
CareSource
| Facility | $103.32 | $125.51 | $151.94 | |
CareSource
| Professional | $121.55 | $280.41 | $329.89 | |
Cigna
| Facility | $183.87 | $183.87 | $183.87 | |
Cigna
| Professional | $103.58 | $155.11 | $389.69 | |
Highmark BCBS
| Facility | $813.78 | $2,787.35 | $4,713.77 | |
Highmark BCBS
| Professional | $197.33 | $210.31 | $238.87 | |
United
| Professional | $120.43 | $179.14 | $238.53 |