| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.23 | $74.12 | $98.43 | |
Aetna
| Professional | $71.52 | $72.23 | $98.21 | |
CareSource
| Facility | $71.52 | $73.39 | $107.28 | |
CareSource
| Professional | $165.82 | $165.82 | $165.82 | |
Cigna
| Facility | $67.47 | $71.52 | $96.90 | |
Cigna
| Professional | $71.52 | $71.52 | $163.27 | |
Highmark BCBS
| Facility | $458.42 | $578.95 | $833.57 | |
United
| Professional | $71.52 | $71.52 | $213.66 |