| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.49 | $81.97 | $1,400.00 | |
Aetna
| Professional | $42.10 | $80.09 | $150.01 | |
CareSource
| Facility | $43.74 | $52.49 | $72.17 | |
CareSource
| Professional | $81.70 | $131.55 | $190.62 | |
Cigna
| Facility | $78.31 | $78.31 | $78.31 | |
Cigna
| Professional | $49.20 | $98.66 | $261.42 | |
Highmark BCBS
| Facility | $402.36 | $402.36 | $817.16 | |
United
| Professional | $74.75 | $146.07 | $243.33 |