| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $74.13 | $93.33 | $204.17 | |
Aetna
| Professional | $60.26 | $72.44 | $81.28 | |
CareSource
| Facility | $70.79 | $95.50 | $114.82 | |
CareSource
| Professional | $70.79 | $95.50 | $114.82 | |
Cigna
| Facility | $58.88 | $112.20 | $112.20 | |
Cigna
| Professional | $338.84 | $338.84 | $338.84 | |
Highmark BCBS
| Facility | $63.10 | $63.10 | $63.10 | |
United
| Facility | $42.66 | $42.66 | $42.66 | |
United
| Professional | $30.90 | $35.48 | $87.10 |