| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $310.93 | $503.50 | $630.90 | |
Aetna
| Professional | $142.62 | $142.63 | $225.00 | |
CareSource
| Facility | $142.63 | $192.55 | $235.34 | |
CareSource
| Professional | $142.63 | $192.55 | $192.55 | |
Cigna
| Facility | $115.89 | $139.07 | $171.16 | |
Cigna
| Professional | $61.41 | $214.92 | $687.48 | |
Highmark BCBS
| Facility | $188.98 | $448.37 | $652.16 | |
United
| Professional | $81.65 | $91.94 | $201.90 |