| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.08 | $109.04 | $111.59 | |
Aetna
| Professional | $47.07 | $88.35 | $189.40 | |
CareSource
| Facility | $46.85 | $56.92 | $68.90 | |
CareSource
| Professional | $55.12 | $209.21 | $246.14 | |
Cigna
| Facility | $82.89 | $82.89 | $82.89 | |
Cigna
| Professional | $46.54 | $111.49 | $234.04 | |
Highmark BCBS
| Facility | $480.82 | $480.82 | $480.82 | |
Highmark BCBS
| Professional | $67.90 | $150.13 | $182.25 | |
United
| Professional | $79.80 | $114.47 | $151.87 |