| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.60 | $127.80 | $351.00 | |
Aetna
| Professional | $18.07 | $19.75 | $20.88 | |
CareSource
| Facility | $24.09 | $32.52 | $39.75 | |
CareSource
| Professional | $24.09 | $30.11 | $32.52 | |
Cigna
| Facility | $19.57 | $32.74 | $72.27 | |
Cigna
| Professional | $10.28 | $34.59 | $116.11 | |
Highmark BCBS
| Facility | $65.45 | $111.49 | $260.33 | |
United
| Professional | $10.11 | $11.08 | $35.60 |