| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $215.52 | $326.18 | $326.18 | |
Aetna
| Professional | $92.35 | $144.94 | $248.75 | |
CareSource
| Facility | $99.05 | $99.05 | $119.73 | |
CareSource
| Professional | $106.43 | $106.43 | $106.43 | |
Cigna
| Facility | $158.83 | $158.83 | $158.83 | |
Cigna
| Professional | $97.59 | $161.63 | $353.63 | |
Highmark BCBS
| Facility | $261.10 | $261.10 | $261.10 | |
United
| Professional | $110.19 | $163.91 | $257.04 |