| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $246.53 | $246.53 | $250.98 | |
Aetna
| Professional | $232.45 | $246.53 | $311.47 | |
CareSource
| Facility | $265.36 | $291.52 | $317.63 | |
CareSource
| Professional | $271.99 | $282.33 | $282.33 | |
Cigna
| Facility | $404.69 | $404.69 | $404.69 | |
Cigna
| Professional | $224.21 | $316.83 | $980.67 | |
Highmark BCBS
| Professional | $360.28 | $360.28 | $360.28 | |
United
| Professional | $209.10 | $313.91 | $450.07 |