| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $15.85 | $19.95 | $25.12 | |
CareSource
| Facility | $22.91 | $22.91 | $27.54 | |
CareSource
| Professional | $24.55 | $24.55 | $24.55 | |
Cigna
| Facility | $39.81 | $39.81 | $39.81 | |
Cigna
| Professional | $10.23 | $27.54 | $125.89 | |
Highmark BCBS
| Professional | $27.54 | $27.54 | $28.84 | |
United
| Professional | $13.49 | $19.50 | $40.74 |