| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.22 | $172.13 | $1,400.00 | |
Aetna
| Professional | $111.35 | $163.22 | $252.31 | |
CareSource
| Facility | $127.69 | $139.91 | $152.44 | |
CareSource
| Professional | $135.50 | $135.50 | $135.50 | |
Cigna
| Facility | $204.76 | $204.76 | $204.76 | |
Cigna
| Professional | $113.99 | $183.34 | $466.09 | |
Highmark BCBS
| Facility | $480.82 | $480.82 | $480.82 | |
Highmark BCBS
| Professional | $169.96 | $242.93 | $282.42 | |
United
| Professional | $141.18 | $202.94 | $284.54 |