| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $98.53 | $98.53 | $99.43 | |
Aetna
| Professional | $90.61 | $101.49 | $124.85 | |
CareSource
| Facility | $112.21 | $123.25 | $134.28 | |
CareSource
| Professional | $114.57 | $119.36 | $119.36 | |
Cigna
| Facility | $171.13 | $171.13 | $171.13 | |
Cigna
| Professional | $94.83 | $131.04 | $382.26 | |
Highmark BCBS
| Facility | $793.84 | $793.84 | $793.84 | |
Highmark BCBS
| Professional | $152.38 | $152.38 | $210.15 | |
United
| Professional | $82.35 | $119.68 | $176.96 |