| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $75.01 | $79.73 | $80.44 | |
CareSource
| Facility | $109.35 | $109.35 | $59,999.40 | |
CareSource
| Professional | $97.20 | $97.20 | $72,899.27 | |
Cigna
| Professional | $26.38 | $26.38 | $26.38 | |
Highmark BCBS
| Professional | $81.00 | $81.00 | $81.00 |