| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.43 | $97.72 | $208.93 | |
Aetna
| Professional | $66.07 | $112.20 | $199.53 | |
CareSource
| Facility | $69.18 | $83.18 | $117.49 | |
CareSource
| Professional | $95.50 | $114.82 | $229.09 | |
Cigna
| Facility | $112.20 | $112.20 | $112.20 | |
Cigna
| Professional | $67.61 | $100.00 | $281.84 | |
Highmark BCBS
| Professional | $117.49 | $134.90 | $204.17 | |
United
| Professional | $60.26 | $89.13 | $138.04 |