| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.20 | $86.48 | $425.82 | |
Aetna
| Professional | $109.96 | $117.96 | $236.79 | |
CareSource
| Facility | $152.88 | $308.23 | $399.56 | |
CareSource
| Professional | $148.41 | $164.65 | $282.26 | |
Cigna
| Facility | $130.59 | $130.59 | $275.64 | |
Cigna
| Professional | $95.33 | $176.78 | $212.19 | |
Highmark BCBS
| Facility | $60.20 | $80.00 | $398.57 | |
United
| Professional | $87.40 | $113.91 | $189.85 |