| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.18 | $180.00 | $383.40 | |
Aetna
| Professional | $19.55 | $21.38 | $25.45 | |
CareSource
| Facility | $26.07 | $35.19 | $43.02 | |
CareSource
| Professional | $26.07 | $32.59 | $35.19 | |
Cigna
| Facility | $21.19 | $50.00 | $78.22 | |
Cigna
| Professional | $10.99 | $37.69 | $125.66 | |
Highmark BCBS
| Facility | $99.83 | $120.91 | $250.22 | |
United
| Professional | $11.36 | $13.04 | $27.04 |