| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $270.20 | $411.89 | $494.27 | |
Aetna
| Professional | $247.13 | $270.20 | $280.08 | |
CareSource
| Facility | $329.51 | $444.84 | $543.69 | |
CareSource
| Professional | $329.51 | $444.84 | $444.84 | |
Cigna
| Facility | $267.73 | $815.22 | $988.44 | |
Cigna
| Professional | $129.59 | $453.49 | $1,588.24 | |
Highmark BCBS
| Facility | $1,544.45 | $1,544.45 | $1,544.45 | |
United
| Professional | $138.38 | $164.76 | $477.79 |