| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $120.23 | $186.21 | $194.98 | |
Aetna
| Professional | $107.15 | $162.18 | $309.03 | |
CareSource
| Facility | $128.82 | $128.82 | $154.88 | |
CareSource
| Professional | $138.04 | $138.04 | $138.04 | |
Cigna
| Facility | $190.55 | $190.55 | $190.55 | |
Cigna
| Professional | $109.65 | $158.49 | $467.74 | |
Highmark BCBS
| Professional | $158.49 | $186.21 | $204.17 | |
United
| Professional | $100.00 | $147.91 | $223.87 |