| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.17 | $246.37 | $1,600.00 | |
Aetna
| Professional | $112.17 | $184.10 | $295.01 | |
CareSource
| Facility | $129.19 | $142.56 | $207.08 | |
CareSource
| Professional | $138.07 | $138.07 | $138.07 | |
Cigna
| Facility | $207.15 | $207.15 | $207.15 | |
Cigna
| Professional | $136.81 | $331.95 | $681.46 | |
Highmark BCBS
| Facility | $629.79 | $629.79 | $741.38 | |
United
| Professional | $233.37 | $363.23 | $627.42 |