| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $100.00 | $104.71 | $147.91 | |
CareSource
| Facility | $12.88 | $128.82 | $204.17 | |
CareSource
| Professional | $13.80 | $138.04 | $223.87 | |
Cigna
| Facility | $47.86 | $158.49 | $316.23 | |
Cigna
| Professional | $104.71 | $123.03 | $169.82 | |
Highmark BCBS
| Professional | $177.83 | $177.83 | $177.83 | |
United
| Facility | $10.96 | $81.28 | $128.82 | |
United
| Professional | $112.20 | $141.25 | $275.42 |