| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $101.94 | $101.94 | $101.94 | |
Aetna
| Professional | $95.03 | $101.94 | $121.24 | |
CareSource
| Facility | $197.31 | $236.77 | $303.29 | |
CareSource
| Professional | $138.12 | $244.01 | $457.47 | |
Cigna
| Facility | $106.02 | $127.07 | $238.28 | |
Cigna
| Professional | $92.76 | $92.76 | $967.52 | |
Highmark BCBS
| Professional | $125.41 | $125.41 | $135.69 | |
United
| Professional | $84.67 | $107.00 | $164.07 |