| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $112.20 | $281.84 | $457.09 | |
Aetna
| Professional | $107.15 | $120.23 | $263.03 | |
CareSource
| Facility | $141.25 | $190.55 | $234.42 | |
CareSource
| Professional | $141.25 | $190.55 | $234.42 | |
Cigna
| Facility | $117.49 | $229.09 | $426.58 | |
Cigna
| Professional | $72.44 | $691.83 | $691.83 | |
Highmark BCBS
| Facility | $223.87 | $295.12 | $512.86 | |
United
| Facility | $85.11 | $85.11 | $85.11 | |
United
| Professional | $64.57 | $74.13 | $177.83 |