| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $202.42 | $3,136.00 | $3,136.00 | |
Aetna
| Professional | $132.75 | $191.42 | $277.83 | |
CareSource
| Facility | $137.62 | $152.22 | $179.93 | |
CareSource
| Professional | $159.94 | $159.94 | $159.94 | |
Cigna
| Facility | $244.09 | $244.09 | $244.09 | |
Cigna
| Professional | $154.60 | $255.75 | $703.14 | |
Highmark BCBS
| Facility | $3,318.57 | $3,318.57 | $8,558.61 | |
United
| Professional | $159.30 | $243.56 | $359.54 |