| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $139.32 | $212.38 | $254.85 | |
Aetna
| Professional | $127.43 | $139.32 | $233.32 | |
CareSource
| Facility | $169.90 | $229.37 | $280.33 | |
CareSource
| Professional | $169.90 | $229.37 | $229.37 | |
Cigna
| Facility | $138.05 | $230.23 | $509.68 | |
Cigna
| Professional | $164.13 | $177.45 | $818.92 | |
Highmark BCBS
| Facility | $299.39 | $478.75 | $730.01 | |
United
| Professional | $54.19 | $76.45 | $212.38 |