| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $200.53 | $200.53 | $204.10 | |
Aetna
| Professional | $187.68 | $201.32 | $250.09 | |
CareSource
| Facility | $215.93 | $236.88 | $258.08 | |
CareSource
| Professional | $220.95 | $229.42 | $229.42 | |
Cigna
| Facility | $329.30 | $329.30 | $329.30 | |
Cigna
| Professional | $184.81 | $255.44 | $789.13 | |
Highmark BCBS
| Professional | $283.49 | $283.49 | $283.49 | |
United
| Professional | $168.54 | $253.14 | $362.52 |