| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.88 | $63.90 | $144.00 | |
Aetna
| Professional | $11.94 | $14.35 | $20.92 | |
CareSource
| Facility | $15.92 | $21.49 | $26.27 | |
CareSource
| Professional | $15.92 | $19.89 | $21.49 | |
Cigna
| Facility | $12.94 | $28.85 | $47.77 | |
Cigna
| Professional | $9.01 | $22.72 | $76.73 | |
Highmark BCBS
| Facility | $31.16 | $60.20 | $95.12 | |
United
| Professional | $9.55 | $13.33 | $31.35 |