| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $84.19 | $290.45 | $758.58 | |
Aetna
| Professional | $34.53 | $84.19 | $93.47 | |
CareSource
| Facility | $85.16 | $100.78 | $134.88 | |
CareSource
| Professional | $89.58 | $89.58 | $89.58 | |
Cigna
| Facility | $95.45 | $95.45 | $95.45 | |
Cigna
| Professional | $50.55 | $64.76 | $111.97 | |
Highmark BCBS
| Facility | $307.18 | $466.88 | $711.00 | |
United
| Professional | $24.06 | $62.30 | $84.81 |