| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.56 | $221.40 | $528.29 | |
Aetna
| Professional | $71.84 | $98.42 | $111.96 | |
CareSource
| Facility | $95.80 | $129.33 | $158.07 | |
CareSource
| Professional | $95.80 | $129.33 | $129.33 | |
Cigna
| Facility | $77.84 | $182.60 | $287.38 | |
Cigna
| Professional | $48.45 | $159.71 | $461.76 | |
Highmark BCBS
| Facility | $38.45 | $89.81 | $185.10 | |
United
| Professional | $43.11 | $50.30 | $161.66 |