| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.74 | $72.56 | $114.52 | |
CareSource
| Professional | $43.62 | $54.42 | $54.42 | |
Cigna
| Professional | $50.88 | $83.57 | $204.18 | |
Highmark BCBS
| Professional | $127.92 | $127.92 | $127.92 | |
United
| Professional | $53.78 | $79.75 | $113.17 |