| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.45 | $54.90 | $54.90 | |
Aetna
| Professional | $16.47 | $18.01 | $25.40 | |
CareSource
| Facility | $24.16 | $29.65 | $32.94 | |
CareSource
| Professional | $26.35 | $26.35 | $29.65 | |
Cigna
| Facility | $17.84 | $39.83 | $65.86 | |
Cigna
| Professional | $12.54 | $31.49 | $141.38 | |
Highmark BCBS
| Facility | $32.81 | $90.29 | $133.63 | |
Highmark BCBS
| Professional | $37.09 | $37.09 | $37.09 | |
United
| Professional | $9.22 | $13.18 | $35.14 |