| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $187.91 | $946.80 | $946.80 | |
Aetna
| Professional | $112.75 | $123.27 | $127.78 | |
CareSource
| Facility | $165.36 | $225.50 | $263.08 | |
CareSource
| Professional | $180.40 | $180.40 | $202.95 | |
Cigna
| Facility | $122.14 | $372.39 | $883.04 | |
Cigna
| Professional | $60.71 | $212.45 | $724.59 | |
Highmark BCBS
| Facility | $469.56 | $687.37 | $1,107.54 | |
United
| Professional | $63.14 | $75.17 | $217.98 |