| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.24 | $140.06 | $197.40 | |
Aetna
| Professional | $85.23 | $146.44 | $263.00 | |
CareSource
| Facility | $87.98 | $101.18 | $138.51 | |
CareSource
| Professional | $114.74 | $172.11 | $266.02 | |
Cigna
| Facility | $124.66 | $124.66 | $124.66 | |
Cigna
| Professional | $87.08 | $123.17 | $259.64 | |
Highmark BCBS
| Professional | $96.52 | $129.94 | $154.74 | |
United
| Professional | $85.61 | $126.18 | $183.58 |