| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.31 | $88.36 | $98.77 | |
Aetna
| Professional | $59.50 | $99.92 | $205.42 | |
CareSource
| Facility | $62.39 | $71.75 | $98.72 | |
CareSource
| Professional | $89.16 | $133.74 | $206.73 | |
Cigna
| Facility | $88.85 | $88.85 | $88.85 | |
Cigna
| Professional | $62.49 | $93.58 | $202.27 | |
Highmark BCBS
| Professional | $94.42 | $127.10 | $188.65 | |
United
| Professional | $65.38 | $96.15 | $142.66 |