| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.00 | $72.00 | $138.44 | |
Aetna
| Professional | $115.13 | $125.87 | $175.00 | |
CareSource
| Facility | $168.85 | $207.23 | $230.25 | |
CareSource
| Professional | $184.20 | $184.20 | $207.23 | |
Cigna
| Facility | $124.73 | $184.20 | $460.48 | |
Cigna
| Professional | $176.76 | $220.96 | $739.87 | |
Highmark BCBS
| Facility | $87.00 | $87.00 | $180.56 | |
United
| Professional | $64.47 | $69.08 | $207.23 |