| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.92 | $77.45 | $87.28 | |
Aetna
| Professional | $51.64 | $66.39 | $84.35 | |
CareSource
| Facility | $53.81 | $61.15 | $114.15 | |
CareSource
| Professional | $75.80 | $75.80 | $75.80 | |
Cigna
| Facility | $109.78 | $109.78 | $109.78 | |
Cigna
| Professional | $60.00 | $84.00 | $167.79 | |
Highmark BCBS
| Professional | $85.27 | $88.84 | $97.74 | |
United
| Professional | $59.04 | $83.50 | $131.69 |