| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $157.69 | $240.40 | $288.48 | |
Aetna
| Professional | $144.24 | $157.69 | $163.47 | |
CareSource
| Facility | $211.55 | $288.48 | $336.56 | |
CareSource
| Professional | $230.78 | $230.78 | $259.63 | |
Cigna
| Facility | $156.26 | $305.52 | $576.91 | |
Cigna
| Professional | $203.34 | $219.85 | $926.98 | |
Highmark BCBS
| Facility | $500.32 | $500.32 | $500.32 | |
United
| Professional | $77.38 | $97.60 | $285.66 |