| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $129.63 | $197.79 | $1,400.00 | |
Aetna
| Professional | $107.15 | $139.47 | $210.14 | |
CareSource
| Facility | $138.56 | $153.16 | $166.89 | |
CareSource
| Professional | $76.27 | $148.34 | $148.34 | |
Cigna
| Facility | $150.62 | $150.62 | $150.62 | |
Cigna
| Professional | $127.67 | $187.29 | $324.99 | |
Highmark BCBS
| Professional | $194.47 | $194.47 | $194.47 | |
United
| Professional | $100.75 | $145.91 | $211.30 |