| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $290.58 | $349.20 | $431.10 | |
Aetna
| Professional | $106.97 | $117.23 | $133.36 | |
CareSource
| Facility | $142.63 | $192.55 | $235.34 | |
CareSource
| Professional | $142.63 | $192.55 | $192.55 | |
Cigna
| Facility | $115.89 | $171.16 | $427.86 | |
Cigna
| Professional | $57.61 | $201.61 | $687.48 | |
Highmark BCBS
| Facility | $260.54 | $328.87 | $424.60 | |
United
| Professional | $59.90 | $71.31 | $206.81 |