| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.67 | $245.47 | $4,365.16 | |
Aetna
| Professional | $37.15 | $53.70 | $112.20 | |
CareSource
| Facility | $41.69 | $50.12 | $112.20 | |
CareSource
| Professional | $44.67 | $44.67 | $44.67 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Cigna
| Professional | $42.66 | $100.00 | $389.05 | |
Highmark BCBS
| Facility | $263.03 | $389.05 | $512.86 | |
United
| Facility | $263.03 | $263.03 | $263.03 | |
United
| Professional | $38.02 | $79.43 | $138.04 |