| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $101.87 | $483.16 | $1,200.00 | |
Aetna
| Professional | $101.26 | $162.36 | $294.10 | |
CareSource
| Facility | $104.90 | $127.43 | $154.26 | |
CareSource
| Professional | $123.41 | $313.13 | $368.39 | |
Cigna
| Facility | $186.61 | $186.61 | $186.61 | |
Cigna
| Professional | $104.09 | $172.75 | $435.95 | |
Highmark BCBS
| Facility | $386.76 | $386.76 | $386.76 | |
Highmark BCBS
| Professional | $219.49 | $229.69 | $241.44 | |
United
| Facility | $460.00 | $460.00 | $460.00 | |
United
| Professional | $132.32 | $185.25 | $264.64 |