| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $92.94 | $105.59 | $122.09 | |
CareSource
| Facility | $14.05 | $109.20 | $162.44 | |
CareSource
| Professional | $12.29 | $114.10 | $157.99 | |
Cigna
| Facility | $114.47 | $114.47 | $225.56 | |
Cigna
| Professional | $114.47 | $137.96 | $150.25 | |
Highmark BCBS
| Professional | $151.26 | $151.26 | $151.26 | |
United
| Professional | $91.25 | $105.32 | $186.00 |