| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $335.62 | $335.62 | $335.62 | |
Aetna
| Professional | $292.41 | $393.95 | $434.66 | |
CareSource
| Facility | $496.23 | $650.02 | $812.52 | |
CareSource
| Professional | $379.18 | $650.02 | $1,255.91 | |
Cigna
| Facility | $465.67 | $465.67 | $631.09 | |
Cigna
| Professional | $339.94 | $465.67 | $2,497.05 | |
Highmark BCBS
| Professional | $487.51 | $511.49 | $669.22 | |
United
| Professional | $321.64 | $401.53 | $662.49 |