| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $462.48 | $462.48 | $462.48 | |
Aetna
| Professional | $17.53 | $19.98 | $60.25 | |
CareSource
| Facility | $19.54 | $23.42 | $32.26 | |
CareSource
| Professional | $20.03 | $20.82 | $20.82 | |
Cigna
| Facility | $29.80 | $29.80 | $29.80 | |
Cigna
| Professional | $16.36 | $24.69 | $147.34 | |
Highmark BCBS
| Facility | $219.51 | $219.51 | $370.21 | |
Highmark BCBS
| Professional | $22.73 | $22.73 | $22.73 | |
United
| Facility | $361.40 | $361.40 | $361.40 | |
United
| Professional | $17.32 | $36.90 | $79.48 |