| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.86 | $342.09 | $417.33 | |
Aetna
| Professional | $28.97 | $36.17 | $46.12 | |
CareSource
| Facility | $33.74 | $44.42 | $52.26 | |
CareSource
| Professional | $33.74 | $40.49 | $78.23 | |
Cigna
| Facility | $1.19 | $59.18 | $105.36 | |
Cigna
| Professional | $16.89 | $58.85 | $273.60 | |
Highmark BCBS
| Facility | $237.37 | $258.08 | $474.08 | |
Highmark BCBS
| Professional | $45.42 | $46.67 | $46.67 | |
United
| Professional | $17.02 | $20.66 | $52.30 |