| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $171.25 | $327.60 | $327.60 | |
Aetna
| Professional | $102.75 | $112.34 | $188.14 | |
CareSource
| Facility | $137.00 | $184.95 | $226.05 | |
CareSource
| Professional | $137.00 | $184.95 | $184.95 | |
Cigna
| Facility | $111.31 | $266.68 | $410.97 | |
Cigna
| Professional | $53.52 | $187.31 | $660.34 | |
Highmark BCBS
| Facility | $152.07 | $152.07 | $1,430.77 | |
United
| Professional | $57.54 | $68.50 | $198.65 |