| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $140.82 | $286.08 | $1,400.00 | |
Aetna
| Professional | $143.22 | $286.08 | $405.06 | |
CareSource
| Facility | $140.80 | $161.38 | $175.82 | |
CareSource
| Professional | $156.29 | $156.29 | $156.29 | |
Cigna
| Facility | $225.77 | $225.77 | $225.77 | |
Cigna
| Professional | $182.34 | $349.42 | $641.25 | |
Highmark BCBS
| Professional | $182.98 | $182.98 | $182.98 | |
United
| Professional | $235.01 | $411.26 | $679.00 |