| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.76 | $229.36 | $309.26 | |
Aetna
| Professional | $27.22 | $36.99 | $66.87 | |
CareSource
| Facility | $24.13 | $32.17 | $48.26 | |
CareSource
| Professional | $35.33 | $71.48 | $100.47 | |
Cigna
| Facility | $45.75 | $45.75 | $45.75 | |
Cigna
| Professional | $32.78 | $46.68 | $159.01 | |
Highmark BCBS
| Facility | $95.34 | $110.34 | $147.47 | |
Highmark BCBS
| Professional | $33.13 | $33.13 | $33.13 | |
United
| Professional | $29.90 | $48.58 | $69.33 |