| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58.26 | $64.08 | $64.08 | |
Aetna
| Professional | $54.31 | $58.26 | $62.93 | |
CareSource
| Facility | $112.76 | $135.31 | $174.86 | |
CareSource
| Professional | $78.93 | $142.15 | $261.44 | |
Cigna
| Facility | $68.22 | $73.06 | $138.82 | |
Cigna
| Professional | $49.80 | $68.22 | $551.07 | |
Highmark BCBS
| Facility | $390.79 | $390.79 | $390.79 | |
Highmark BCBS
| Professional | $76.14 | $76.14 | $76.36 | |
United
| Professional | $42.11 | $56.26 | $93.76 |