| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $147.91 | $147.91 | $147.91 |
Aetna
| Professional | $162.18 | $199.53 | $269.15 | |
CareSource
| Professional | $38.02 | $38.02 | $38.02 | |
Cigna
| Facility | 26 | $35.48 | $165.96 | $234.42 |
Cigna
| Professional | $162.18 | $269.15 | $851.14 | |
Highmark BCBS
| Professional | $251.19 | $251.19 | $251.19 | |
United
| Professional | $117.49 | $173.78 | $275.42 |