| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $95.64 | $114.25 | $263.61 | |
CareSource
| Facility | $112.86 | $129.79 | $174.68 | |
CareSource
| Professional | $112.86 | $166.68 | $261.66 | |
Cigna
| Facility | $138.29 | $138.29 | $138.29 | |
Cigna
| Professional | $112.64 | $146.43 | $267.11 | |
Highmark BCBS
| Professional | $177.39 | $274.92 | $395.93 | |
United
| Professional | $92.09 | $136.54 | $190.44 |