| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $168.49 | $255.68 | $376.00 | |
Aetna
| Professional | $136.19 | $169.96 | $211.75 | |
CareSource
| Facility | $218.88 | $226.01 | $328.32 | |
CareSource
| Professional | $507.48 | $507.48 | $507.48 | |
Cigna
| Facility | $169.96 | $186.76 | $186.76 | |
Cigna
| Professional | $186.76 | $186.76 | $239.61 | |
Highmark BCBS
| Facility | $124.82 | $173.83 | $399.92 | |
United
| Professional | $166.75 | $199.95 | $212.92 |