| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.22 | $152.78 | $183.33 | |
Aetna
| Professional | $91.67 | $100.22 | $103.89 | |
CareSource
| Facility | $134.44 | $183.33 | $213.89 | |
CareSource
| Professional | $146.66 | $146.66 | $165.00 | |
Cigna
| Facility | $99.30 | $242.31 | $366.62 | |
Cigna
| Professional | $59.02 | $206.54 | $589.10 | |
Highmark BCBS
| Facility | $40.97 | $40.97 | $40.97 | |
United
| Professional | $55.00 | $63.37 | $195.55 |