| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $166.46 | $227.55 | $267.39 | |
CareSource
| Facility | $30.26 | $245.90 | $330.75 | |
CareSource
| Professional | $26.48 | $248.04 | $356.19 | |
Cigna
| Facility | $243.78 | $243.78 | $512.41 | |
Cigna
| Professional | $243.78 | $297.33 | $327.93 | |
Highmark BCBS
| Professional | $340.48 | $340.48 | $342.04 | |
United
| Professional | $189.38 | $226.99 | $422.54 |