| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $126.41 | $187.76 | $1,400.00 | |
Aetna
| Professional | $125.51 | $177.70 | $220.11 | |
CareSource
| Facility | $131.55 | $157.86 | $172.00 | |
CareSource
| Professional | $152.88 | $152.88 | $152.88 | |
Cigna
| Facility | $230.81 | $230.81 | $230.81 | |
Cigna
| Professional | $128.62 | $200.50 | $514.09 | |
Highmark BCBS
| Professional | $276.45 | $276.45 | $276.45 | |
United
| Professional | $155.00 | $219.01 | $311.58 |