| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $276.50 | $276.50 | $276.50 | |
Aetna
| Professional | $257.76 | $272.88 | $294.55 | |
CareSource
| Facility | $358.36 | $722.52 | $936.60 | |
CareSource
| Professional | $347.88 | $385.92 | $661.58 | |
Cigna
| Facility | $321.89 | $336.03 | $646.08 | |
Cigna
| Professional | $245.30 | $245.30 | $2,639.67 | |
Highmark BCBS
| Professional | $350.78 | $350.78 | $350.78 | |
United
| Professional | $204.84 | $267.01 | $464.91 |