| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $66.95 | $83.37 | $134.84 | |
CareSource
| Facility | $80.15 | $94.58 | $121.11 | |
CareSource
| Professional | $80.62 | $119.97 | $186.92 | |
Cigna
| Facility | $96.79 | $96.79 | $96.79 | |
Cigna
| Professional | $68.12 | $96.17 | $173.13 | |
Highmark BCBS
| Facility | $385.19 | $1,117.81 | $1,229.46 | |
Highmark BCBS
| Professional | $102.85 | $102.85 | $107.41 | |
United
| Professional | $55.20 | $81.81 | $118.69 |