| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.55 | $22.55 | $343.52 | |
Aetna
| Professional | $20.65 | $159.31 | $376.93 | |
CareSource
| Facility | $27.22 | $27.22 | $27.22 | |
CareSource
| Professional | $24.19 | $24.19 | $24.19 | |
Cigna
| Facility | $34.22 | $34.22 | $34.22 | |
Cigna
| Professional | $21.47 | $98.23 | $455.44 | |
Highmark BCBS
| Facility | $1,027.85 | $1,027.85 | $1,189.95 | |
United
| Professional | $130.77 | $257.72 | $393.60 |