| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $107.70 | $459.51 | $908.98 | |
Aetna
| Professional | $83.41 | $102.17 | $128.85 | |
CareSource
| Facility | $78.65 | $113.72 | $156.59 | |
CareSource
| Professional | $114.62 | $130.19 | $265.76 | |
Cigna
| Facility | $180.92 | $180.92 | $180.92 | |
Cigna
| Professional | $93.68 | $119.00 | $239.77 | |
Highmark BCBS
| Professional | $129.50 | $149.27 | $198.93 | |
United
| Professional | $95.22 | $122.11 | $188.09 |