| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.68 | $163.35 | $163.35 | |
Aetna
| Professional | $49.01 | $53.58 | $55.54 | |
CareSource
| Facility | $65.34 | $88.21 | $107.81 | |
CareSource
| Professional | $65.34 | $88.21 | $88.21 | |
Cigna
| Facility | $53.09 | $134.65 | $196.00 | |
Cigna
| Professional | $75.68 | $81.83 | $314.94 | |
Highmark BCBS
| Facility | $121.32 | $276.14 | $389.85 | |
United
| Professional | $25.01 | $29.78 | $86.35 |