| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.65 | $138.04 | $199.53 | |
Aetna
| Professional | $85.11 | $151.36 | $275.42 | |
CareSource
| Facility | $87.10 | $107.15 | $147.91 | |
CareSource
| Professional | $114.82 | $138.04 | $275.42 | |
Cigna
| Facility | $144.54 | $144.54 | $144.54 | |
Cigna
| Professional | $83.18 | $123.03 | $354.81 | |
Highmark BCBS
| Professional | $123.03 | $134.90 | $208.93 | |
United
| Professional | $74.13 | $109.65 | $169.82 |