| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $310.92 | $310.92 | $315.95 | |
Aetna
| Professional | $290.88 | $310.92 | $392.32 | |
CareSource
| Facility | $333.70 | $366.66 | $399.48 | |
CareSource
| Professional | $341.18 | $355.09 | $355.09 | |
Cigna
| Facility | $508.92 | $508.92 | $508.92 | |
Cigna
| Professional | $282.08 | $395.97 | $1,223.34 | |
Highmark BCBS
| Professional | $383.89 | $403.09 | $453.27 | |
United
| Professional | $241.29 | $391.82 | $562.16 |