| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58.50 | $77.40 | $126.90 | |
Aetna
| Professional | $35.86 | $39.20 | $61.81 | |
CareSource
| Facility | $52.59 | $64.54 | $71.72 | |
CareSource
| Professional | $57.37 | $57.37 | $64.54 | |
Cigna
| Facility | $38.85 | $76.98 | $143.43 | |
Cigna
| Professional | $24.65 | $68.66 | $264.41 | |
Highmark BCBS
| Facility | $220.07 | $220.07 | $498.09 | |
United
| Professional | $21.51 | $25.86 | $60.10 |