| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $201.66 | $201.66 | $204.63 | |
Aetna
| Professional | $186.04 | $201.66 | $251.33 | |
CareSource
| Facility | $191.89 | $220.67 | $288.08 | |
CareSource
| Professional | $194.67 | $292.01 | $451.35 | |
Cigna
| Facility | $330.31 | $330.31 | $330.31 | |
Cigna
| Professional | $185.10 | $253.50 | $782.68 | |
Highmark BCBS
| Professional | $259.81 | $292.77 | $420.98 | |
United
| Professional | $167.30 | $250.77 | $359.90 |