| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $157.66 | $222.18 | $1,400.00 | |
Aetna
| Professional | $156.21 | $209.64 | $251.51 | |
CareSource
| Facility | $164.79 | $197.75 | $215.45 | |
CareSource
| Professional | $191.51 | $191.51 | $191.51 | |
Cigna
| Facility | $288.58 | $288.58 | $288.58 | |
Cigna
| Professional | $160.18 | $238.59 | $619.11 | |
Highmark BCBS
| Professional | $326.83 | $326.83 | $326.83 | |
United
| Professional | $185.86 | $271.02 | $374.93 |