| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $94.57 | $445.56 | $705.21 | |
Aetna
| Professional | $24.75 | $72.98 | $104.02 | |
CareSource
| Facility | $34.15 | $42.69 | $51.86 | |
CareSource
| Professional | $40.18 | $172.59 | $203.02 | |
Cigna
| Facility | $57.59 | $57.59 | $57.59 | |
Cigna
| Professional | $26.49 | $65.77 | $134.47 | |
Highmark BCBS
| Facility | $379.74 | $579.40 | $10,036.23 | |
United
| Professional | $47.65 | $80.59 | $118.22 |