| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $171.43 | $463.42 | $684.75 | |
Aetna
| Professional | $57.37 | $109.07 | $136.69 | |
CareSource
| Facility | $57.34 | $71.05 | $86.01 | |
CareSource
| Professional | $68.81 | $210.82 | $248.01 | |
Cigna
| Facility | $99.75 | $99.75 | $99.75 | |
Cigna
| Professional | $59.69 | $130.99 | $269.73 | |
Highmark BCBS
| Facility | $236.06 | $358.38 | $452.64 | |
United
| Professional | $89.14 | $144.86 | $269.64 |