| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $120.51 | $147.85 | $203.64 | |
CareSource
| Professional | $105.86 | $157.58 | $254.53 | |
Cigna
| Professional | $119.40 | $152.57 | $295.48 | |
Highmark BCBS
| Professional | $164.67 | $164.67 | $172.91 | |
United
| Professional | $99.90 | $159.66 | $299.33 |