| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $294.66 | $337.05 | $368.33 | |
CareSource
| Facility | $36.43 | $38.00 | $430.94 | |
CareSource
| Professional | $36.43 | $40.92 | $464.09 | |
Cigna
| Facility | $279.36 | $279.36 | $644.28 | |
Cigna
| Professional | $44.04 | $279.36 | $393.03 | |
Highmark BCBS
| Professional | $365.87 | $365.87 | $365.87 | |
United
| Professional | $238.43 | $325.99 | $485.71 |