| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $177.56 | $226.54 | $226.54 | |
Aetna
| Professional | $177.56 | $177.56 | $195.31 | |
CareSource
| Facility | $177.56 | $177.56 | $266.33 | |
CareSource
| Professional | $411.67 | $411.67 | $411.67 | |
Cigna
| Facility | $158.87 | $174.44 | $174.44 | |
Cigna
| Professional | $174.44 | $174.44 | $224.99 | |
Highmark BCBS
| Facility | $181.35 | $195.02 | $241.00 | |
United
| Professional | $155.75 | $186.90 | $198.87 |