| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $244.80 | $244.80 | $248.95 | |
Aetna
| Professional | $227.88 | $246.62 | $304.81 | |
CareSource
| Facility | $262.85 | $288.83 | $314.69 | |
CareSource
| Professional | $268.88 | $279.72 | $279.72 | |
Cigna
| Facility | $400.86 | $400.86 | $400.86 | |
Cigna
| Professional | $224.18 | $310.14 | $958.49 | |
Highmark BCBS
| Professional | $343.90 | $343.90 | $343.90 | |
United
| Professional | $204.71 | $306.95 | $440.47 |