| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $190.85 | $190.85 | $190.85 | |
Aetna
| Professional | $177.91 | $190.85 | $211.26 | |
CareSource
| Facility | $369.41 | $443.29 | $567.74 | |
CareSource
| Professional | $258.58 | $456.66 | $856.49 | |
Cigna
| Facility | $211.27 | $211.27 | $445.96 | |
Cigna
| Professional | $154.22 | $211.27 | $1,815.21 | |
Highmark BCBS
| Professional | $258.58 | $258.58 | $258.58 | |
United
| Professional | $141.38 | $184.30 | $307.16 |