| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $96.21 | $150.35 | $1,400.00 | |
Aetna
| Professional | $91.06 | $150.35 | $269.69 | |
CareSource
| Facility | $111.09 | $121.75 | $132.65 | |
CareSource
| Professional | $117.91 | $117.91 | $117.91 | |
Cigna
| Facility | $178.13 | $178.13 | $178.13 | |
Cigna
| Professional | $99.31 | $161.31 | $406.20 | |
Highmark BCBS
| Professional | $134.94 | $223.84 | $226.89 | |
United
| Professional | $122.88 | $174.30 | $249.00 |