| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.44 | $97.72 | $97.72 | |
Aetna
| Professional | $72.44 | $72.44 | $85.11 | |
CareSource
| Facility | $70.79 | $107.15 | $107.15 | |
CareSource
| Professional | $165.96 | $165.96 | $165.96 | |
Cigna
| Facility | $69.18 | $72.44 | $112.20 | |
Cigna
| Professional | $72.44 | $302.00 | $302.00 | |
Highmark BCBS
| Facility | $457.09 | $776.25 | $831.76 | |
United
| Professional | $70.79 | $72.44 | $181.97 |