| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.54 | $102.46 | $134.41 | |
Aetna
| Professional | $78.05 | $145.00 | $232.88 | |
CareSource
| Facility | $77.98 | $89.68 | $123.12 | |
CareSource
| Professional | $104.47 | $156.71 | $242.23 | |
Cigna
| Facility | $110.81 | $110.81 | $110.81 | |
Cigna
| Professional | $78.06 | $110.44 | $237.84 | |
Highmark BCBS
| Professional | $112.97 | $138.18 | $161.94 | |
United
| Professional | $78.87 | $112.67 | $167.15 |