| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $152.08 | $750.72 | $750.72 | |
Aetna
| Professional | $128.88 | $138.26 | $152.08 | |
CareSource
| Facility | $179.19 | $361.29 | $468.34 | |
CareSource
| Professional | $173.95 | $192.98 | $330.82 | |
Cigna
| Facility | $135.00 | $135.00 | $323.06 | |
Cigna
| Professional | $98.55 | $203.45 | $244.22 | |
Highmark BCBS
| Facility | $64.08 | $64.08 | $711.08 | |
Highmark BCBS
| Professional | $170.08 | $180.71 | $187.33 | |
United
| Professional | $102.41 | $135.66 | $223.51 |