| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $190.55 | $512.86 | $512.86 | |
Aetna
| Professional | $162.18 | $190.55 | $380.19 | |
CareSource
| Facility | $316.23 | $316.23 | $316.23 | |
CareSource
| Professional | $281.84 | $281.84 | $281.84 | |
Cigna
| Facility | $194.98 | $467.74 | $691.83 | |
Cigna
| Professional | $380.19 | $1,122.02 | $1,122.02 | |
Highmark BCBS
| Facility | $120.23 | $120.23 | $120.23 | |
United
| Facility | $141.25 | $141.25 | $141.25 | |
United
| Professional | $104.71 | $123.03 | $295.12 |