| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.15 | $399.50 | $399.50 | |
Aetna
| Professional | $39.38 | $79.50 | $155.28 | |
CareSource
| Facility | $43.28 | $52.57 | $63.65 | |
CareSource
| Professional | $50.92 | $196.82 | $231.55 | |
Cigna
| Facility | $76.48 | $76.48 | $76.48 | |
Cigna
| Professional | $43.22 | $100.02 | $216.82 | |
Highmark BCBS
| Facility | $79.31 | $79.31 | $364.19 | |
Highmark BCBS
| Professional | $92.41 | $92.41 | $170.69 | |
United
| Professional | $70.53 | $108.12 | $159.79 |