| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.43 | $98.44 | $98.44 | |
Aetna
| Professional | $69.73 | $70.43 | $83.46 | |
CareSource
| Facility | $55.78 | $69.73 | $104.60 | |
CareSource
| Professional | $45.32 | $48.81 | $62.76 | |
Cigna
| Facility | $65.78 | $69.73 | $95.63 | |
Cigna
| Professional | $69.73 | $69.73 | $161.90 | |
Highmark BCBS
| Facility | $519.08 | $519.08 | $519.08 | |
United
| Professional | $27.89 | $69.73 | $139.76 |