| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $212.45 | $963.50 | $1,400.00 | |
Aetna
| Professional | $197.28 | $273.06 | $361.89 | |
CareSource
| Facility | $220.82 | $264.98 | $288.70 | |
CareSource
| Professional | $256.62 | $256.62 | $256.62 | |
Cigna
| Facility | $384.14 | $384.14 | $384.14 | |
Cigna
| Professional | $213.85 | $309.69 | $810.79 | |
Highmark BCBS
| Professional | $404.74 | $404.74 | $404.74 | |
United
| Professional | $243.25 | $367.95 | $496.19 |