| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $74.00 | $74.00 | $74.00 | |
Aetna
| Professional | $73.34 | $74.00 | $79.59 | |
CareSource
| Facility | $101.05 | $203.74 | $264.11 | |
CareSource
| Professional | $98.10 | $108.82 | $186.55 | |
Cigna
| Facility | $100.03 | $100.03 | $182.18 | |
Cigna
| Professional | $73.02 | $100.03 | $741.61 | |
Highmark BCBS
| Professional | $95.92 | $95.92 | $117.91 | |
United
| Professional | $75.29 | $96.26 | $125.49 |