| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.97 | $600.66 | $600.66 | |
Aetna
| Professional | $32.93 | $80.53 | $181.11 | |
CareSource
| Facility | $36.14 | $43.91 | $53.15 | |
CareSource
| Professional | $42.52 | $179.19 | $210.81 | |
Cigna
| Facility | $63.92 | $63.92 | $63.92 | |
Cigna
| Professional | $35.49 | $84.06 | $190.07 | |
Highmark BCBS
| Facility | $480.82 | $480.82 | $480.82 | |
Highmark BCBS
| Professional | $79.11 | $128.91 | $141.59 | |
United
| Professional | $57.12 | $92.84 | $145.47 |