| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $158.88 | $201.54 | $225.10 | |
CareSource
| Facility | $294.19 | $321.33 | $435.86 | |
CareSource
| Professional | $257.06 | $282.77 | $596.00 | |
Cigna
| Facility | $283.73 | $283.73 | $283.73 | |
Cigna
| Professional | $104.60 | $104.60 | $104.60 | |
Highmark BCBS
| Professional | $76.00 | $76.00 | $93.00 | |
United
| Professional | $108.72 | $128.25 | $214.71 |