| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.41 | $117.13 | $657.90 | |
Aetna
| Professional | $26.32 | $29.83 | $44.66 | |
CareSource
| Facility | $35.09 | $47.37 | $57.90 | |
CareSource
| Professional | $35.09 | $47.37 | $47.37 | |
Cigna
| Facility | $28.51 | $79.05 | $105.27 | |
Cigna
| Professional | $18.87 | $66.05 | $169.13 | |
Highmark BCBS
| Facility | $70.81 | $128.63 | $184.60 | |
United
| Professional | $15.79 | $20.05 | $64.48 |