| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $97.68 | $103.73 | $123.83 | |
CareSource
| Facility | $11.21 | $15.82 | $131.80 | |
CareSource
| Professional | $11.21 | $15.82 | $141.94 | |
Cigna
| Facility | $129.12 | $129.12 | $245.18 | |
Cigna
| Professional | $129.12 | $129.12 | $802.92 | |
Highmark BCBS
| Professional | $145.07 | $145.07 | $145.07 | |
United
| Professional | $68.84 | $108.27 | $202.18 |