| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.40 | $69.00 | $124.74 | |
CareSource
| Facility | $53.26 | $58.75 | $79.89 | |
CareSource
| Professional | $88.67 | $97.54 | $205.58 | |
Cigna
| Facility | $92.17 | $92.17 | $92.17 | |
Cigna
| Professional | $52.19 | $82.26 | $145.66 | |
Highmark BCBS
| Professional | $25.00 | $70.00 | $80.00 | |
United
| Professional | $65.34 | $86.18 | $134.60 |