| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $118.42 | $860.10 | $1,200.00 | |
Aetna
| Professional | $113.51 | $144.03 | $179.91 | |
CareSource
| Facility | $121.89 | $146.27 | $159.35 | |
CareSource
| Professional | $141.65 | $141.65 | $141.65 | |
Cigna
| Facility | $211.32 | $211.32 | $211.32 | |
Cigna
| Professional | $127.06 | $187.57 | $470.44 | |
Highmark BCBS
| Facility | $699.78 | $699.78 | $699.78 | |
Highmark BCBS
| Professional | $205.61 | $215.17 | $251.63 | |
United
| Professional | $135.30 | $189.12 | $257.89 |