| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $93.06 | $126.90 | $386.34 | |
Aetna
| Professional | $71.23 | $149.91 | $227.56 | |
CareSource
| Facility | $68.42 | $78.68 | $108.19 | |
CareSource
| Professional | $99.37 | $149.06 | $230.40 | |
Cigna
| Facility | $97.37 | $97.37 | $97.37 | |
Cigna
| Professional | $68.48 | $105.19 | $224.49 | |
Highmark BCBS
| Professional | $107.07 | $138.38 | $208.97 | |
United
| Professional | $74.27 | $114.08 | $183.64 |