| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.57 | $501.19 | $891.25 | |
Aetna
| Professional | $28.18 | $30.20 | $36.31 | |
CareSource
| Facility | $37.15 | $37.15 | $37.15 | |
Cigna
| Facility | $30.90 | $30.90 | $85.11 | |
Cigna
| Professional | $30.90 | $30.90 | $162.18 | |
Highmark BCBS
| Facility | $316.23 | $338.84 | $398.11 | |
United
| Professional | $30.20 | $30.20 | $36.31 |