| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $185.18 | $185.18 | $195.52 | |
Aetna
| Professional | $106.31 | $152.56 | $341.17 | |
CareSource
| Facility | $99.39 | $142.61 | $213.91 | |
CareSource
| Professional | $92.01 | $138.11 | $169.99 | |
Cigna
| Facility | $163.28 | $163.28 | $163.28 | |
Cigna
| Professional | $114.24 | $161.13 | $340.46 | |
Highmark BCBS
| Professional | $160.12 | $198.58 | $207.80 | |
United
| Professional | $113.29 | $169.93 | $239.46 |