| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $156.13 | $163.63 | $208.17 | |
Aetna
| Professional | $122.69 | $171.74 | $355.03 | |
CareSource
| Facility | $164.04 | $196.85 | $287.07 | |
CareSource
| Professional | $164.04 | $323.30 | $380.34 | |
Cigna
| Facility | $197.63 | $197.63 | $197.63 | |
Cigna
| Professional | $139.44 | $229.66 | $741.92 | |
Highmark BCBS
| Professional | $189.93 | $190.28 | $200.19 | |
United
| Professional | $130.31 | $190.45 | $283.42 |