| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.54 | $69.43 | $83.31 | |
Aetna
| Professional | $41.66 | $44.99 | $45.54 | |
CareSource
| Facility | $61.09 | $74.98 | $83.31 | |
CareSource
| Professional | $66.65 | $66.65 | $74.98 | |
Cigna
| Facility | $45.13 | $90.10 | $166.60 | |
Cigna
| Professional | $64.02 | $80.02 | $267.70 | |
Highmark BCBS
| Professional | $33.32 | $33.32 | $94.60 | |
United
| Professional | $23.33 | $24.99 | $55.54 |