| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.58 | $423.00 | $1,167.48 | |
Aetna
| Professional | $58.91 | $75.12 | $100.75 | |
CareSource
| Facility | $53.87 | $78.98 | $107.69 | |
CareSource
| Professional | $80.73 | $91.71 | $187.19 | |
Cigna
| Facility | $124.93 | $124.93 | $124.93 | |
Cigna
| Professional | $68.00 | $91.00 | $182.32 | |
Highmark BCBS
| Professional | $92.86 | $101.29 | $136.21 | |
United
| Professional | $73.44 | $92.74 | $141.66 |