| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $177.02 | $961.80 | $961.80 | |
Aetna
| Professional | $157.46 | $173.21 | $218.08 | |
CareSource
| Facility | $162.00 | $191.16 | $261.32 | |
CareSource
| Professional | $164.82 | $243.00 | $396.96 | |
Cigna
| Facility | $227.29 | $227.29 | $227.29 | |
Cigna
| Professional | $156.72 | $156.72 | $156.72 | |
Highmark BCBS
| Facility | $461.59 | $1,007.26 | $1,398.23 | |
United
| Professional | $159.02 | $244.81 | $428.42 |