| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $603.48 | $603.48 | $603.48 | |
Aetna
| Professional | $39.19 | $43.29 | $52.71 | |
CareSource
| Facility | $45.42 | $49.97 | $54.45 | |
CareSource
| Professional | $46.12 | $48.40 | $48.40 | |
Cigna
| Facility | $69.27 | $69.27 | $69.27 | |
Cigna
| Professional | $38.76 | $53.86 | $167.78 | |
Highmark BCBS
| Facility | $483.08 | $483.08 | $483.08 | |
Highmark BCBS
| Professional | $75.31 | $75.31 | $75.31 | |
United
| Professional | $36.22 | $53.06 | $76.98 |