| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $211.07 | $289.52 | $11,786.46 | |
Aetna
| Professional | $194.85 | $237.22 | $298.75 | |
CareSource
| Facility | $220.62 | $264.74 | $288.44 | |
CareSource
| Professional | $256.39 | $256.39 | $256.39 | |
Cigna
| Facility | $384.03 | $384.03 | $384.03 | |
Cigna
| Professional | $213.66 | $299.13 | $717.44 | |
Highmark BCBS
| Professional | $380.80 | $380.80 | $380.80 | |
United
| Professional | $218.52 | $337.45 | $450.14 |