| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.48 | $94.62 | $212.44 | |
Aetna
| Professional | $70.00 | $134.88 | $213.12 | |
CareSource
| Facility | $68.42 | $78.68 | $108.19 | |
CareSource
| Professional | $95.19 | $142.79 | $220.70 | |
Cigna
| Facility | $97.37 | $97.37 | $97.37 | |
Cigna
| Professional | $69.65 | $100.76 | $216.02 | |
Highmark BCBS
| Professional | $86.24 | $130.76 | $142.29 | |
United
| Professional | $71.45 | $102.08 | $156.13 |