| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $67.86 | $77.39 | $92.28 | |
CareSource
| Facility | $10.30 | $83.62 | $117.81 | |
CareSource
| Professional | $9.01 | $86.84 | $126.87 | |
Cigna
| Facility | $81.17 | $81.17 | $182.52 | |
Cigna
| Professional | $81.17 | $81.17 | $114.51 | |
Highmark BCBS
| Professional | $115.79 | $115.79 | $115.79 | |
United
| Professional | $67.17 | $77.84 | $150.51 |