| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $103.61 | $122.34 | $284.98 | |
CareSource
| Facility | $105.91 | $154.04 | $231.07 | |
CareSource
| Professional | $76.47 | $141.21 | $149.18 | |
Cigna
| Facility | $152.16 | $152.16 | $152.16 | |
Cigna
| Professional | $124.02 | $161.61 | $295.30 | |
Highmark BCBS
| Professional | $269.17 | $269.17 | $269.17 | |
United
| Professional | $106.65 | $149.18 | $209.52 |