| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $84.66 | $130.66 | $315.83 | |
Aetna
| Professional | $71.44 | $115.85 | $247.10 | |
CareSource
| Facility | $77.98 | $89.68 | $123.12 | |
CareSource
| Professional | $108.65 | $162.97 | $251.91 | |
Cigna
| Facility | $110.81 | $110.81 | $110.81 | |
Cigna
| Professional | $77.63 | $114.58 | $245.66 | |
Highmark BCBS
| Professional | $113.84 | $154.38 | $229.81 | |
United
| Professional | $81.47 | $129.02 | $173.84 |