| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $177.83 | $467.74 | $467.74 | |
Aetna
| Professional | $141.25 | $186.21 | $416.87 | |
CareSource
| Facility | $346.74 | $436.52 | $575.44 | |
CareSource
| Professional | $331.13 | $501.19 | $812.83 | |
Cigna
| Facility | $186.21 | $549.54 | $549.54 | |
Cigna
| Professional | $141.25 | $141.25 | $1,659.59 | |
Highmark BCBS
| Facility | $81.28 | $81.28 | $131.83 | |
Highmark BCBS
| Professional | $218.78 | $218.78 | $234.42 | |
United
| Facility | $154.88 | $154.88 | $363.08 | |
United
| Professional | $141.25 | $186.21 | $288.40 |