| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $603.48 | $603.48 | $603.48 | |
Aetna
| Professional | $45.19 | $49.30 | $59.45 | |
CareSource
| Facility | $51.47 | $56.64 | $61.71 | |
CareSource
| Professional | $52.87 | $54.85 | $54.85 | |
Cigna
| Facility | $78.48 | $78.48 | $78.48 | |
Cigna
| Professional | $44.21 | $61.95 | $193.61 | |
Highmark BCBS
| Facility | $483.07 | $483.07 | $483.07 | |
Highmark BCBS
| Professional | $58.53 | $58.53 | $63.56 | |
United
| Professional | $40.90 | $61.78 | $88.64 |