| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $111.78 | $122.95 | $156.04 | |
Aetna
| Professional | $86.42 | $122.90 | $279.12 | |
CareSource
| Facility | $123.14 | $147.77 | $215.50 | |
CareSource
| Professional | $123.14 | $242.68 | $285.51 | |
Cigna
| Facility | $149.03 | $149.03 | $149.03 | |
Cigna
| Professional | $104.67 | $169.98 | $501.59 | |
Highmark BCBS
| Professional | $140.88 | $146.28 | $150.79 | |
United
| Professional | $95.82 | $130.04 | $197.02 |