| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.75 | $20.49 | $23.83 | |
CareSource
| Facility | $23.15 | $25.21 | $27.47 | |
CareSource
| Professional | $24.42 | $24.42 | $24.42 | |
Cigna
| Facility | $35.10 | $35.10 | $35.10 | |
Cigna
| Professional | $10.17 | $14.64 | $41.09 | |
Highmark BCBS
| Professional | $28.61 | $28.61 | $28.61 | |
United
| Professional | $14.48 | $19.76 | $41.90 |