| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $254.74 | $378.82 | $767.98 | |
Aetna
| Professional | $182.25 | $206.77 | $228.11 | |
CareSource
| Facility | $320.18 | $497.11 | $660.36 | |
CareSource
| Professional | $257.76 | $441.88 | $927.93 | |
Cigna
| Facility | $233.36 | $233.36 | $471.87 | |
Cigna
| Professional | $170.35 | $307.47 | $369.07 | |
Highmark BCBS
| Facility | $178.82 | $269.00 | $661.13 | |
United
| Professional | $137.18 | $199.66 | $593.27 |