| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $196.85 | $224.18 | $258.83 | |
CareSource
| Facility | $29.82 | $230.74 | $307.66 | |
CareSource
| Professional | $26.09 | $242.25 | $331.32 | |
Cigna
| Facility | $243.17 | $243.17 | $476.64 | |
Cigna
| Professional | $243.17 | $292.92 | $319.16 | |
Highmark BCBS
| Professional | $319.61 | $319.61 | $319.61 | |
United
| Professional | $192.93 | $223.61 | $393.04 |