| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $97.72 | $104.71 | $186.21 | |
Aetna
| Professional | $85.11 | $100.00 | $173.78 | |
CareSource
| Facility | $165.96 | $165.96 | $165.96 | |
CareSource
| Professional | $147.91 | $147.91 | $147.91 | |
Cigna
| Facility | $102.33 | $331.13 | $371.54 | |
Cigna
| Professional | $218.78 | $602.56 | $602.56 | |
Highmark BCBS
| Facility | $58.88 | $239.88 | $630.96 | |
United
| Facility | $74.13 | $74.13 | $74.13 | |
United
| Professional | $56.23 | $70.79 | $169.82 |