| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.93 | $90.86 | $1,400.00 | |
Aetna
| Professional | $60.55 | $82.35 | $117.35 | |
CareSource
| Facility | $74.17 | $81.13 | $88.40 | |
CareSource
| Professional | $78.58 | $78.58 | $78.58 | |
Cigna
| Facility | $118.94 | $118.94 | $118.94 | |
Cigna
| Professional | $66.59 | $96.96 | $237.69 | |
Highmark BCBS
| Facility | $540.27 | $540.27 | $540.27 | |
Highmark BCBS
| Professional | $122.80 | $122.80 | $150.85 | |
United
| Professional | $72.78 | $108.25 | $147.27 |