| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.51 | $49.45 | $64.81 | |
Aetna
| Professional | $48.96 | $49.45 | $56.30 | |
CareSource
| Facility | $48.96 | $48.96 | $73.44 | |
CareSource
| Professional | $113.53 | $113.53 | $113.53 | |
Cigna
| Facility | $46.19 | $48.96 | $85.00 | |
Cigna
| Professional | $48.96 | $48.96 | $93.54 | |
Highmark BCBS
| Facility | $48.81 | $48.81 | $48.81 | |
United
| Professional | $48.96 | $48.96 | $103.29 |