| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58.53 | $58.53 | $58.53 | |
Aetna
| Professional | $36.50 | $56.02 | $68.84 | |
CareSource
| Facility | $113.31 | $135.97 | $169.97 | |
CareSource
| Professional | $79.31 | $135.97 | $262.70 | |
Cigna
| Facility | $70.80 | $74.27 | $144.75 | |
Cigna
| Professional | $51.68 | $51.68 | $606.69 | |
Highmark BCBS
| Professional | $75.67 | $76.51 | $79.31 | |
United
| Professional | $47.38 | $56.53 | $94.21 |