| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $101.06 | $160.96 | $1,700.00 | |
Aetna
| Professional | $96.51 | $150.86 | $179.27 | |
CareSource
| Facility | $104.98 | $125.98 | $137.25 | |
CareSource
| Professional | $122.00 | $122.00 | $122.00 | |
Cigna
| Facility | $180.74 | $180.74 | $180.74 | |
Cigna
| Professional | $101.67 | $171.65 | $466.83 | |
Highmark BCBS
| Facility | $7,530.70 | $7,530.70 | $7,530.70 | |
United
| Professional | $139.00 | $206.76 | $292.36 |