| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.57 | $178.60 | $195.52 | |
Aetna
| Professional | $31.53 | $48.51 | $76.05 | |
CareSource
| Facility | $34.97 | $46.64 | $69.95 | |
CareSource
| Professional | $46.72 | $94.91 | $133.35 | |
Cigna
| Facility | $66.28 | $66.28 | $66.28 | |
Cigna
| Professional | $39.65 | $61.42 | $230.73 | |
Highmark BCBS
| Facility | $79.31 | $152.21 | $208.00 | |
Highmark BCBS
| Professional | $47.94 | $47.94 | $47.94 | |
United
| Professional | $32.03 | $54.57 | $92.03 |