| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $164.50 | $463.42 | $754.38 | |
Aetna
| Professional | $58.06 | $115.20 | $199.39 | |
CareSource
| Facility | $57.51 | $71.27 | $86.27 | |
CareSource
| Professional | $69.01 | $205.12 | $241.30 | |
Cigna
| Facility | $100.68 | $100.68 | $100.68 | |
Cigna
| Professional | $57.51 | $112.76 | $272.47 | |
Highmark BCBS
| Facility | $232.06 | $395.98 | $494.62 | |
United
| Professional | $96.04 | $144.65 | $244.45 |