| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.82 | $213.80 | $501.19 | |
Aetna
| Professional | $52.48 | $63.10 | $93.33 | |
CareSource
| Facility | $83.18 | $107.15 | $128.82 | |
CareSource
| Professional | $51.29 | $95.50 | $107.15 | |
Cigna
| Facility | $66.07 | $125.89 | $234.42 | |
Cigna
| Professional | $16.22 | $380.19 | $380.19 | |
Highmark BCBS
| Facility | $107.15 | $173.78 | $363.08 | |
United
| Facility | $46.77 | $46.77 | $46.77 | |
United
| Professional | $16.60 | $27.54 | $46.77 |