| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $258.11 | $337.16 | $1,400.00 | |
Aetna
| Professional | $250.18 | $272.61 | $451.66 | |
CareSource
| Facility | $268.01 | $285.83 | $311.43 | |
CareSource
| Professional | $276.83 | $276.83 | $276.83 | |
Cigna
| Facility | $310.55 | $310.55 | $310.55 | |
Cigna
| Professional | $236.46 | $322.95 | $577.04 | |
Highmark BCBS
| Professional | $339.84 | $339.84 | $371.28 | |
United
| Professional | $193.33 | $283.02 | $479.21 |