| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $231.50 | $270.00 | $270.00 | |
Aetna
| Professional | $137.05 | $151.86 | $167.04 | |
CareSource
| Facility | $185.20 | $250.02 | $305.58 | |
CareSource
| Professional | $185.20 | $250.02 | $250.02 | |
Cigna
| Facility | $150.47 | $458.77 | $555.54 | |
Cigna
| Professional | $892.66 | $892.66 | $892.66 | |
Highmark BCBS
| Facility | $752.32 | $752.32 | $752.32 | |
United
| Professional | $77.78 | $92.60 | $268.54 |