| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $207.69 | $1,066.90 | $1,400.00 | |
Aetna
| Professional | $207.69 | $291.18 | $403.37 | |
CareSource
| Facility | $215.04 | $258.05 | $281.14 | |
CareSource
| Professional | $249.91 | $249.91 | $249.91 | |
Cigna
| Facility | $372.78 | $372.78 | $372.78 | |
Cigna
| Professional | $224.47 | $395.86 | $924.13 | |
Highmark BCBS
| Facility | $912.73 | $912.73 | $912.73 | |
United
| Professional | $285.77 | $410.80 | $546.02 |