| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $143.83 | $219.25 | $263.10 | |
Aetna
| Professional | $131.55 | $143.83 | $149.09 | |
CareSource
| Facility | $175.40 | $236.79 | $289.41 | |
CareSource
| Professional | $175.40 | $236.79 | $236.79 | |
Cigna
| Facility | $142.51 | $265.55 | $526.16 | |
Cigna
| Professional | $227.97 | $246.46 | $845.43 | |
Highmark BCBS
| Facility | $300.98 | $300.98 | $300.98 | |
United
| Professional | $75.29 | $89.63 | $259.91 |