| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $90.50 | $106.38 | $252.87 | |
CareSource
| Facility | $108.79 | $125.11 | $168.29 | |
CareSource
| Professional | $108.79 | $160.56 | $252.23 | |
Cigna
| Facility | $132.90 | $132.90 | $132.90 | |
Cigna
| Professional | $108.51 | $141.06 | $255.70 | |
Highmark BCBS
| Professional | $154.97 | $240.67 | $380.86 | |
United
| Professional | $85.71 | $130.94 | $183.18 |