| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.43 | $131.83 | $1,412.54 | |
Aetna
| Professional | $69.18 | $128.82 | $234.42 | |
CareSource
| Facility | $89.13 | $109.65 | $138.04 | |
CareSource
| Professional | $131.83 | $269.15 | $323.59 | |
Cigna
| Facility | $34.67 | $147.91 | $147.91 | |
Cigna
| Professional | $81.28 | $141.25 | $691.83 | |
Highmark BCBS
| Professional | $190.55 | $194.98 | $199.53 | |
United
| Facility | $457.09 | $457.09 | $562.34 | |
United
| Professional | $72.44 | $114.82 | $181.97 |