| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.12 | $118.80 | $1,200.00 | |
Aetna
| Professional | $56.12 | $114.20 | $183.76 | |
CareSource
| Facility | $65.53 | $78.95 | $108.70 | |
CareSource
| Professional | $70.19 | $70.19 | $73.29 | |
Cigna
| Facility | $105.08 | $105.08 | $105.08 | |
Cigna
| Professional | $65.31 | $135.47 | $286.89 | |
Highmark BCBS
| Facility | $897.68 | $897.68 | $897.68 | |
United
| Professional | $95.62 | $147.02 | $230.98 |