| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $88.80 | $88.80 | $88.80 | |
Aetna
| Professional | $72.30 | $84.99 | $91.28 | |
CareSource
| Facility | $171.23 | $197.66 | $257.82 | |
CareSource
| Professional | $111.72 | $175.28 | $398.51 | |
Cigna
| Facility | $95.80 | $96.73 | $188.38 | |
Cigna
| Professional | $70.61 | $96.73 | $789.56 | |
Highmark BCBS
| Professional | $114.79 | $171.88 | $184.64 | |
United
| Professional | $61.08 | $85.75 | $142.91 |