| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $103.50 | $636.38 | $636.38 | |
Aetna
| Professional | $35.77 | $39.27 | $47.27 | |
CareSource
| Facility | $39.53 | $43.33 | $47.21 | |
CareSource
| Professional | $40.35 | $41.96 | $41.96 | |
Cigna
| Facility | $60.29 | $60.29 | $60.29 | |
Cigna
| Professional | $34.83 | $48.96 | $152.99 | |
Highmark BCBS
| Facility | $509.41 | $509.41 | $509.41 | |
United
| Professional | $33.11 | $48.50 | $70.36 |