| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.02 | $45.71 | $53.70 | |
CareSource
| Professional | $54.95 | $54.95 | $54.95 | |
Cigna
| Professional | $41.69 | $60.26 | $275.42 | |
Highmark BCBS
| Professional | $63.10 | $63.10 | $63.10 | |
United
| Professional | $38.90 | $51.29 | $74.13 |