| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $162.35 | $162.35 | $296.99 | |
Aetna
| Professional | $148.49 | $162.35 | $168.29 | |
CareSource
| Facility | $217.79 | $296.99 | $346.48 | |
CareSource
| Professional | $237.59 | $237.59 | $267.29 | |
Cigna
| Facility | $160.86 | $428.23 | $593.90 | |
Cigna
| Professional | $343.32 | $371.17 | $954.31 | |
Highmark BCBS
| Facility | $300.23 | $326.95 | $916.65 | |
United
| Professional | $89.10 | $118.79 | $364.65 |