| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $101.72 | $119.34 | $148.55 | |
CareSource
| Facility | $15.87 | $128.97 | $206.35 | |
CareSource
| Professional | $13.89 | $133.93 | $222.22 | |
Cigna
| Facility | $123.59 | $123.59 | $319.70 | |
Cigna
| Professional | $123.59 | $123.59 | $170.42 | |
Highmark BCBS
| Professional | $178.57 | $178.57 | $178.57 | |
United
| Professional | $112.34 | $141.16 | $276.80 |