| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $153.66 | $213.09 | $3,175.20 | |
Aetna
| Professional | $139.69 | $168.84 | $227.88 | |
CareSource
| Facility | $149.03 | $165.01 | $179.79 | |
CareSource
| Professional | $82.05 | $159.82 | $159.82 | |
Cigna
| Facility | $159.68 | $159.68 | $159.68 | |
Cigna
| Professional | $135.31 | $211.78 | $616.34 | |
Highmark BCBS
| Facility | $3,819.95 | $3,819.95 | $12,064.86 | |
Highmark BCBS
| Professional | $185.68 | $200.53 | $204.25 | |
United
| Professional | $118.54 | $213.09 | $371.17 |