| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.08 | $277.83 | $1,400.00 | |
Aetna
| Professional | $36.44 | $63.34 | $465.73 | |
CareSource
| Facility | $44.35 | $49.06 | $53.45 | |
CareSource
| Professional | $47.51 | $47.51 | $47.51 | |
Cigna
| Facility | $71.12 | $71.12 | $71.12 | |
Cigna
| Professional | $47.51 | $193.33 | $1,079.16 | |
Highmark BCBS
| Facility | $1,472.55 | $1,472.55 | $1,472.55 | |
United
| Professional | $278.67 | $427.37 | $750.65 |