| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $152.16 | $404.20 | $2,409.53 | |
Aetna
| Professional | $135.71 | $209.48 | $263.06 | |
CareSource
| Facility | $143.97 | $172.76 | $188.23 | |
CareSource
| Professional | $167.32 | $167.32 | $167.32 | |
Cigna
| Facility | $251.73 | $251.73 | $251.73 | |
Cigna
| Professional | $140.69 | $222.50 | $572.51 | |
Highmark BCBS
| Professional | $316.20 | $316.20 | $316.20 | |
United
| Professional | $173.58 | $263.24 | $457.60 |