| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $122.82 | $230.40 | $230.40 | |
Aetna
| Professional | $61.41 | $66.31 | $67.14 | |
CareSource
| Facility | $90.07 | $110.54 | $122.82 | |
CareSource
| Professional | $98.26 | $98.26 | $110.54 | |
Cigna
| Facility | $66.53 | $160.16 | $245.61 | |
Cigna
| Professional | $39.44 | $117.71 | $394.66 | |
Highmark BCBS
| Facility | $192.63 | $192.63 | $192.63 | |
United
| Facility | $34.39 | $34.39 | $34.39 | |
United
| Professional | $36.85 | $39.95 | $122.55 |