| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $17.57 | $19.18 | $37.29 | |
Cigna
| Facility | $2.17 | $50.00 | $59.55 | |
Cigna
| Professional | $20.23 | $25.30 | $115.39 | |
Highmark BCBS
| Facility | $192.50 | $192.50 | $192.50 | |
United
| Professional | $8.56 | $10.77 | $27.54 |