| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.73 | $546.54 | $1,400.00 | |
Aetna
| Professional | $78.08 | $134.66 | $859.28 | |
CareSource
| Facility | $94.46 | $104.29 | $113.63 | |
CareSource
| Professional | $101.00 | $101.00 | $101.00 | |
Cigna
| Facility | $151.47 | $151.47 | $151.47 | |
Cigna
| Professional | $101.01 | $411.58 | $1,953.17 | |
Highmark BCBS
| Facility | $2,359.42 | $2,359.42 | $2,359.42 | |
United
| Professional | $523.88 | $882.58 | $1,535.12 |