| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.20 | $92.93 | $334.60 | |
Aetna
| Professional | $84.48 | $84.49 | $125.30 | |
CareSource
| Facility | $83.65 | $86.37 | $129.56 | |
Cigna
| Facility | $85.00 | $92.77 | $92.77 | |
Cigna
| Professional | $92.77 | $92.77 | $150.85 | |
Highmark BCBS
| Facility | $274.64 | $274.64 | $274.64 | |
United
| Professional | $82.83 | $130.53 | $130.53 |