| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.20 | $80.09 | $191.04 | |
Aetna
| Professional | $12.95 | $14.16 | $20.72 | |
CareSource
| Facility | $17.27 | $23.31 | $28.50 | |
CareSource
| Professional | $17.27 | $21.59 | $23.31 | |
Cigna
| Facility | $14.04 | $20.72 | $51.83 | |
Cigna
| Professional | $6.90 | $24.78 | $83.24 | |
Highmark BCBS
| Facility | $56.85 | $82.35 | $181.47 | |
Highmark BCBS
| Professional | $21.86 | $21.86 | $21.86 | |
United
| Professional | $7.25 | $8.64 | $23.31 |