| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.77 | $117.02 | $1,200.00 | |
Aetna
| Professional | $74.73 | $104.96 | $148.21 | |
CareSource
| Facility | $82.17 | $82.17 | $98.74 | |
CareSource
| Professional | $87.77 | $87.77 | $87.77 | |
Cigna
| Facility | $131.76 | $131.76 | $131.76 | |
Cigna
| Professional | $79.58 | $126.91 | $266.86 | |
Highmark BCBS
| Professional | $188.97 | $188.97 | $188.97 | |
United
| Professional | $81.02 | $124.57 | $177.17 |