| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.88 | $22.91 | $1,202.26 | |
CareSource
| Facility | $28.18 | $28.18 | $28.18 | |
Cigna
| Facility | $34.67 | $37.15 | $37.15 | |
Highmark BCBS
| Facility | $257.04 | $257.04 | $257.04 | |
United
| Facility | $457.09 | $457.09 | $602.56 |