| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.77 | $257.04 | $457.09 | |
Aetna
| Professional | $36.31 | $44.67 | $67.61 | |
CareSource
| Facility | $40.74 | $48.98 | $54.95 | |
CareSource
| Professional | $43.65 | $43.65 | $43.65 | |
Cigna
| Facility | $63.10 | $63.10 | $63.10 | |
Cigna
| Professional | $38.02 | $57.54 | $223.87 | |
Highmark BCBS
| Facility | $275.42 | $389.05 | $512.86 | |
United
| Facility | $263.03 | $263.03 | $263.03 | |
United
| Professional | $33.11 | $48.98 | $74.13 |