| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $266.02 | $271.66 | $342.16 | |
Aetna
| Professional | $76.63 | $87.69 | $191.54 | |
CareSource
| Facility | $64.43 | $93.78 | $128.69 | |
CareSource
| Professional | $96.50 | $109.60 | $223.74 | |
Cigna
| Facility | $149.19 | $149.19 | $149.19 | |
Cigna
| Professional | $73.02 | $104.62 | $417.85 | |
Highmark BCBS
| Professional | $157.56 | $177.93 | $185.58 | |
United
| Professional | $71.42 | $97.78 | $156.79 |