| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.31 | $60.26 | $213.80 | |
Aetna
| Professional | $15.85 | $19.05 | $28.18 | |
CareSource
| Facility | $25.12 | $32.36 | $39.81 | |
CareSource
| Professional | $15.85 | $28.84 | $32.36 | |
Cigna
| Facility | $19.95 | $38.90 | $72.44 | |
Cigna
| Professional | $10.23 | $120.23 | $120.23 | |
Highmark BCBS
| Facility | $26.30 | $64.57 | $501.19 | |
Highmark BCBS
| Professional | $18.20 | $18.20 | $18.20 | |
United
| Facility | $14.45 | $14.45 | $14.45 | |
United
| Professional | $10.23 | $10.96 | $24.55 |