| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $99.64 | $135.36 | $356.90 | |
Aetna
| Professional | $71.44 | $115.44 | $239.49 | |
CareSource
| Facility | $73.63 | $86.55 | $116.13 | |
CareSource
| Professional | $104.58 | $156.87 | $242.47 | |
Cigna
| Facility | $104.52 | $104.52 | $104.52 | |
Cigna
| Professional | $73.20 | $110.26 | $234.90 | |
Highmark BCBS
| Professional | $109.89 | $145.61 | $159.77 | |
United
| Professional | $80.81 | $122.53 | $169.32 |