| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $109.65 | $162.18 | $1,412.54 | |
Aetna
| Professional | $97.72 | $151.36 | $275.42 | |
CareSource
| Facility | $125.89 | $125.89 | $147.91 | |
CareSource
| Professional | $131.83 | $131.83 | $131.83 | |
Cigna
| Facility | $34.67 | $199.53 | $199.53 | |
Cigna
| Professional | $109.65 | $169.82 | $851.14 | |
Highmark BCBS
| Professional | $223.87 | $223.87 | $223.87 | |
United
| Facility | $457.09 | $457.09 | $562.34 | |
United
| Professional | $97.72 | $151.36 | $229.09 |