| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $399.15 | $773.71 | $922.14 | |
Aetna
| Professional | $173.55 | $190.90 | $232.03 | |
CareSource
| Facility | $186.84 | $280.26 | $326.97 | |
CareSource
| Professional | $280.26 | $433.20 | $433.20 | |
Cigna
| Facility | $256.87 | $256.87 | $256.87 | |
Cigna
| Professional | $95.70 | $267.32 | $1,043.05 | |
Highmark BCBS
| Facility | $385.22 | $952.94 | $1,194.47 | |
United
| Professional | $93.56 | $187.14 | $411.70 |