| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.52 | $54.52 | $59.22 | |
Aetna
| Professional | $45.80 | $51.93 | $54.26 | |
CareSource
| Facility | $89.93 | $124.93 | $157.53 | |
CareSource
| Professional | $68.26 | $111.05 | $243.49 | |
Cigna
| Facility | $56.94 | $58.00 | $116.04 | |
Cigna
| Professional | $42.34 | $58.00 | $486.34 | |
Highmark BCBS
| Professional | $66.75 | $66.75 | $66.75 | |
United
| Professional | $37.60 | $52.40 | $87.33 |