| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $213.80 | $346.74 | $446.68 | |
Aetna
| Professional | $100.00 | $114.82 | $173.78 | |
CareSource
| Facility | $141.25 | $190.55 | $234.42 | |
CareSource
| Professional | $141.25 | $190.55 | $234.42 | |
Cigna
| Facility | $117.49 | $229.09 | $426.58 | |
Cigna
| Professional | $57.54 | $691.83 | $691.83 | |
Highmark BCBS
| Facility | $169.82 | $331.13 | $575.44 | |
United
| Facility | $85.11 | $85.11 | $85.11 | |
United
| Professional | $60.26 | $64.57 | $177.83 |