| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $281.84 | $812.83 | $1,000.00 | |
Aetna
| Professional | $181.97 | $213.80 | $302.00 | |
CareSource
| Facility | $354.81 | $354.81 | $371.54 | |
CareSource
| Professional | $263.03 | $316.23 | $436.52 | |
Cigna
| Facility | $218.78 | $457.09 | $794.33 | |
Cigna
| Professional | $114.82 | $1,258.93 | $1,258.93 | |
Highmark BCBS
| Facility | $316.23 | $575.44 | $1,122.02 | |
United
| Facility | $158.49 | $158.49 | $158.49 | |
United
| Professional | $117.49 | $123.03 | $331.13 |