| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $292.02 | $773.10 | $773.10 | |
Aetna
| Professional | $242.81 | $262.24 | $265.48 | |
CareSource
| Facility | $323.75 | $437.06 | $534.19 | |
CareSource
| Professional | $323.75 | $404.69 | $437.06 | |
Cigna
| Facility | $263.05 | $525.16 | $971.18 | |
Cigna
| Professional | $72.26 | $465.14 | $1,560.48 | |
Highmark BCBS
| Facility | $517.04 | $570.36 | $570.36 | |
United
| Facility | $194.25 | $194.25 | $194.25 | |
United
| Professional | $69.90 | $145.69 | $315.73 |