| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.46 | $78.16 | $1,400.00 | |
Aetna
| Professional | $39.52 | $62.71 | $86.10 | |
CareSource
| Facility | $46.51 | $52.70 | $57.43 | |
CareSource
| Professional | $51.05 | $51.05 | $51.05 | |
Cigna
| Facility | $74.58 | $74.58 | $74.58 | |
Cigna
| Professional | $42.54 | $79.87 | $183.95 | |
Highmark BCBS
| Facility | $8,402.02 | $8,402.02 | $8,402.02 | |
United
| Professional | $62.83 | $93.24 | $130.90 |