| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.00 | $391.50 | $894.90 | |
Aetna
| Professional | $46.61 | $65.59 | $85.33 | |
CareSource
| Facility | $58.88 | $74.56 | $96.74 | |
CareSource
| Professional | $62.14 | $77.68 | $83.89 | |
Cigna
| Facility | $50.49 | $96.48 | $186.40 | |
Cigna
| Professional | $30.87 | $89.31 | $299.51 | |
Highmark BCBS
| Facility | $113.27 | $262.62 | $378.14 | |
Highmark BCBS
| Professional | $68.34 | $68.34 | $68.34 | |
United
| Professional | $24.09 | $33.52 | $69.84 |