| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.43 | $85.11 | $107.15 | |
Aetna
| Professional | $75.86 | $112.20 | $288.40 | |
CareSource
| Facility | $114.82 | $144.54 | $199.53 | |
CareSource
| Professional | $112.20 | $229.09 | $269.15 | |
Cigna
| Facility | $181.97 | $181.97 | $181.97 | |
Cigna
| Professional | $95.50 | $173.78 | $549.54 | |
Highmark BCBS
| Professional | $128.82 | $131.83 | $199.53 | |
United
| Professional | $69.18 | $100.00 | $173.78 |