| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $229.56 | $253.53 | $294.27 | |
CareSource
| Facility | $33.72 | $265.52 | $354.05 | |
CareSource
| Professional | $29.51 | $273.98 | $381.28 | |
Cigna
| Facility | $277.51 | $277.51 | $548.53 | |
Cigna
| Professional | $277.51 | $331.28 | $371.51 | |
Highmark BCBS
| Professional | $324.52 | $324.52 | $324.52 | |
United
| Professional | $222.04 | $252.90 | $452.32 |