| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $147.16 | $324.00 | $748.80 | |
Aetna
| Professional | $73.58 | $79.47 | $80.45 | |
CareSource
| Facility | $103.02 | $132.44 | $161.88 | |
CareSource
| Professional | $98.11 | $132.44 | $132.44 | |
Cigna
| Facility | $79.70 | $127.32 | $294.30 | |
Cigna
| Professional | $36.61 | $140.94 | $472.89 | |
Highmark BCBS
| Facility | $142.47 | $294.77 | $517.04 | |
United
| Professional | $38.07 | $45.32 | $156.97 |