| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.86 | $99.60 | $136.30 | |
Aetna
| Professional | $83.15 | $154.37 | $243.91 | |
CareSource
| Facility | $81.02 | $93.17 | $127.55 | |
CareSource
| Professional | $107.79 | $161.69 | $249.92 | |
Cigna
| Facility | $114.80 | $114.80 | $114.80 | |
Cigna
| Professional | $80.14 | $113.43 | $243.04 | |
Highmark BCBS
| Professional | $114.38 | $141.72 | $195.40 | |
United
| Professional | $80.78 | $116.26 | $172.46 |