| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $171.25 | $655.20 | $655.20 | |
Aetna
| Professional | $102.75 | $112.34 | $116.45 | |
CareSource
| Facility | $137.00 | $184.95 | $226.05 | |
CareSource
| Professional | $137.00 | $184.95 | $184.95 | |
Cigna
| Facility | $111.31 | $338.84 | $410.97 | |
Cigna
| Professional | $660.34 | $660.34 | $660.34 | |
Highmark BCBS
| Facility | $172.31 | $430.25 | $1,993.41 | |
United
| Professional | $57.54 | $61.65 | $184.95 |