| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.56 | $469.89 | $1,600.00 | |
Aetna
| Professional | $169.56 | $250.40 | $750.08 | |
CareSource
| Facility | $170.73 | $193.92 | $211.28 | |
CareSource
| Professional | $187.80 | $187.80 | $187.80 | |
Cigna
| Facility | $273.76 | $273.76 | $273.76 | |
Cigna
| Professional | $219.11 | $490.77 | $1,487.31 | |
Highmark BCBS
| Professional | $222.39 | $222.39 | $222.39 | |
United
| Professional | $439.40 | $825.02 | $1,469.78 |