| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.70 | $79.43 | $190.55 | |
Aetna
| Professional | $10.96 | $12.88 | $19.95 | |
CareSource
| Facility | $18.20 | $23.44 | $28.18 | |
CareSource
| Professional | $11.22 | $20.89 | $23.44 | |
Cigna
| Facility | $14.45 | $27.54 | $51.29 | |
Cigna
| Professional | $6.92 | $83.18 | $83.18 | |
Highmark BCBS
| Facility | $38.90 | $66.07 | $165.96 | |
Highmark BCBS
| Professional | $10.47 | $10.47 | $10.47 | |
United
| Facility | $10.47 | $10.47 | $10.47 | |
United
| Professional | $7.24 | $7.76 | $17.38 |