| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $93.79 | $125.02 | $164.50 | |
Aetna
| Professional | $89.41 | $154.04 | $272.33 | |
CareSource
| Facility | $92.33 | $106.18 | $145.50 | |
CareSource
| Professional | $122.72 | $184.08 | $284.52 | |
Cigna
| Facility | $130.94 | $130.94 | $130.94 | |
Cigna
| Professional | $91.51 | $129.26 | $278.89 | |
Highmark BCBS
| Professional | $158.47 | $186.32 | $256.36 | |
United
| Professional | $89.94 | $136.30 | $196.35 |