| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $147.71 | $452.14 | $520.27 | |
Aetna
| Professional | $73.12 | $126.75 | $165.51 | |
CareSource
| Facility | $75.87 | $91.04 | $99.20 | |
CareSource
| Professional | $88.18 | $88.18 | $88.18 | |
Cigna
| Facility | $128.01 | $128.01 | $128.01 | |
Cigna
| Professional | $76.25 | $159.96 | $346.12 | |
Highmark BCBS
| Facility | $232.91 | $351.08 | $440.94 | |
United
| Professional | $115.63 | $186.69 | $329.07 |