| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.13 | $128.82 | $165.96 | |
Aetna
| Professional | $89.13 | $158.49 | $281.84 | |
CareSource
| Facility | $93.33 | $112.20 | $154.88 | |
CareSource
| Professional | $123.03 | $147.91 | $295.12 | |
Cigna
| Facility | $151.36 | $151.36 | $151.36 | |
Cigna
| Professional | $89.13 | $131.83 | $371.54 | |
Highmark BCBS
| Professional | $128.82 | $158.49 | $165.96 | |
United
| Professional | $81.28 | $120.23 | $181.97 |