| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $165.23 | $251.88 | $302.25 | |
Aetna
| Professional | $151.13 | $165.23 | $171.28 | |
CareSource
| Facility | $221.65 | $302.25 | $352.63 | |
CareSource
| Professional | $241.80 | $241.80 | $272.02 | |
Cigna
| Facility | $163.72 | $435.80 | $604.47 | |
Cigna
| Professional | $349.70 | $378.07 | $971.23 | |
Highmark BCBS
| Facility | $289.07 | $406.33 | $944.45 | |
United
| Professional | $90.68 | $120.90 | $371.12 |