| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $226.20 | $266.10 | $294.00 | |
CareSource
| Facility | $29.10 | $35.82 | $343.98 | |
CareSource
| Professional | $29.10 | $31.34 | $370.44 | |
Cigna
| Facility | $209.52 | $209.52 | $423.15 | |
Cigna
| Professional | $31.65 | $209.52 | $321.39 | |
Highmark BCBS
| Professional | $269.33 | $269.33 | $269.33 | |
United
| Professional | $157.21 | $223.38 | $336.27 |