| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $93.74 | $93.74 | $93.74 | |
Aetna
| Professional | $80.61 | $89.71 | $93.74 | |
CareSource
| Facility | $117.94 | $226.80 | $317.52 | |
CareSource
| Professional | $114.01 | $127.01 | $195.44 | |
Cigna
| Facility | $117.36 | $117.36 | $194.45 | |
Cigna
| Professional | $85.67 | $117.36 | $815.01 | |
Highmark BCBS
| Professional | $122.53 | $122.53 | $122.53 | |
United
| Professional | $63.11 | $90.52 | $150.87 |