| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $93.79 | $143.82 | $228.42 | |
Aetna
| Professional | $88.47 | $172.50 | $270.62 | |
CareSource
| Facility | $88.62 | $101.91 | $139.55 | |
CareSource
| Professional | $119.29 | $178.94 | $276.58 | |
Cigna
| Facility | $125.60 | $125.60 | $125.60 | |
Cigna
| Professional | $87.73 | $125.40 | $269.04 | |
Highmark BCBS
| Professional | $100.52 | $141.65 | $216.25 | |
United
| Professional | $89.81 | $140.80 | $190.86 |