| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.17 | $278.10 | $810.00 | |
Aetna
| Professional | $13.45 | $14.70 | $21.53 | |
CareSource
| Facility | $17.93 | $24.21 | $29.58 | |
CareSource
| Professional | $17.93 | $22.41 | $24.21 | |
Cigna
| Facility | $14.56 | $42.73 | $53.76 | |
Cigna
| Professional | $10.14 | $25.81 | $115.68 | |
Highmark BCBS
| Facility | $52.54 | $88.18 | $121.88 | |
United
| Professional | $8.07 | $10.76 | $28.69 |