| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $178.81 | $272.58 | $327.08 | |
Aetna
| Professional | $163.55 | $178.81 | $180.99 | |
CareSource
| Facility | $228.96 | $294.38 | $359.80 | |
CareSource
| Professional | $218.06 | $294.38 | $294.38 | |
Cigna
| Facility | $177.18 | $327.08 | $654.13 | |
Cigna
| Professional | $2.22 | $263.10 | $1,051.05 | |
Highmark BCBS
| Facility | $30.28 | $30.28 | $851.71 | |
United
| Professional | $91.59 | $98.13 | $294.38 |