| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $54.74 | $54.74 | $54.74 |
Aetna
| Professional | $108.98 | $137.76 | $242.97 | |
CareSource
| Professional | $52.08 | $112.85 | $233.43 | |
Cigna
| Facility | 26 | $64.00 | $64.00 | $64.00 |
Cigna
| Professional | $93.45 | $151.02 | $332.38 | |
Highmark BCBS
| Professional | $299.89 | $299.89 | $299.89 | |
United
| Professional | $88.18 | $120.44 | $236.31 |