| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $250.15 | $279.95 | $334.49 | |
CareSource
| Facility | $37.24 | $302.54 | $428.70 | |
CareSource
| Professional | $32.59 | $314.18 | $461.68 | |
Cigna
| Facility | $299.44 | $299.44 | $664.20 | |
Cigna
| Professional | $299.44 | $365.81 | $425.75 | |
Highmark BCBS
| Professional | $392.97 | $392.97 | $419.17 | |
United
| Professional | $252.92 | $284.95 | $547.70 |