| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.16 | $385.40 | $840.36 | |
Aetna
| Professional | $62.54 | $79.02 | $106.92 | |
CareSource
| Facility | $56.38 | $82.69 | $112.73 | |
CareSource
| Professional | $85.77 | $97.42 | $198.86 | |
Cigna
| Facility | $130.25 | $130.25 | $130.25 | |
Cigna
| Professional | $71.00 | $98.00 | $178.99 | |
Highmark BCBS
| Professional | $104.16 | $114.89 | $165.34 | |
United
| Professional | $73.52 | $104.05 | $155.60 |