| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $102.78 | $119.33 | $138.44 | |
CareSource
| Facility | $12.90 | $16.64 | $153.76 | |
CareSource
| Professional | $12.90 | $17.86 | $165.59 | |
Cigna
| Facility | $112.00 | $112.73 | $200.87 | |
Cigna
| Professional | $15.59 | $112.73 | $167.97 | |
Highmark BCBS
| Professional | $138.88 | $138.88 | $138.88 | |
United
| Professional | $72.19 | $98.13 | $183.16 |