| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.98 | $630.96 | $9,772.37 | |
Aetna
| Professional | $48.98 | $123.03 | $309.03 | |
CareSource
| Facility | $51.29 | $51.29 | $61.66 | |
CareSource
| Professional | $54.95 | $54.95 | $54.95 | |
Cigna
| Facility | $34.67 | $81.28 | $81.28 | |
Cigna
| Professional | $45.71 | $117.49 | $562.34 | |
Highmark BCBS
| Facility | $251.19 | $251.19 | $537.03 | |
United
| Facility | $457.09 | $457.09 | $457.09 | |
United
| Professional | $47.86 | $102.33 | $275.42 |