| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $177.60 | $177.60 | $525.96 | |
Aetna
| Professional | $165.56 | $169.97 | $177.60 | |
CareSource
| Facility | $230.17 | $464.10 | $601.62 | |
CareSource
| Professional | $223.46 | $247.87 | $424.92 | |
Cigna
| Facility | $212.98 | $212.98 | $414.96 | |
Cigna
| Professional | $155.47 | $276.61 | $332.02 | |
Highmark BCBS
| Facility | $467.25 | $467.25 | $467.25 | |
United
| Professional | $131.57 | $177.17 | $298.62 |