| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $100.70 | $108.90 | $142.66 | |
CareSource
| Facility | $168.74 | $195.50 | $220.10 | |
CareSource
| Professional | $150.19 | $179.21 | $377.74 | |
Cigna
| Facility | $168.37 | $168.37 | $168.37 | |
Cigna
| Professional | $60.08 | $60.08 | $60.08 | |
Highmark BCBS
| Professional | $80.00 | $80.00 | $80.00 | |
United
| Professional | $66.17 | $81.28 | $136.08 |