| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $199.53 | $199.53 | $204.17 | |
Aetna
| Professional | $181.97 | $204.17 | $263.03 | |
CareSource
| Facility | $213.80 | $213.80 | $257.04 | |
CareSource
| Professional | $229.09 | $229.09 | $229.09 | |
Cigna
| Facility | $331.13 | $331.13 | $331.13 | |
Cigna
| Professional | $190.55 | $269.15 | $977.24 | |
Highmark BCBS
| Professional | $288.40 | $288.40 | $288.40 | |
United
| Professional | $165.96 | $234.42 | $338.84 |