| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.44 | $149.40 | $177.30 | |
Aetna
| Professional | $51.31 | $51.31 | $115.45 | |
CareSource
| Facility | $51.31 | $69.27 | $84.66 | |
CareSource
| Professional | $51.31 | $69.27 | $69.27 | |
Cigna
| Facility | $41.69 | $50.03 | $61.57 | |
Cigna
| Professional | $247.31 | $247.31 | $247.31 | |
Highmark BCBS
| Facility | $91.29 | $137.97 | $224.14 | |
United
| Professional | $21.55 | $25.66 | $74.40 |