| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.81 | $84.46 | $106.41 | |
Aetna
| Professional | $78.40 | $104.31 | $252.98 | |
CareSource
| Facility | $111.45 | $133.74 | $195.04 | |
CareSource
| Professional | $111.45 | $219.64 | $258.41 | |
Cigna
| Facility | $135.36 | $135.36 | $135.36 | |
Cigna
| Professional | $87.16 | $144.69 | $380.27 | |
Highmark BCBS
| Facility | $82.88 | $82.88 | $82.88 | |
Highmark BCBS
| Professional | $126.19 | $132.26 | $135.21 | |
United
| Professional | $68.54 | $98.49 | $178.32 |