| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.29 | $238.50 | $238.50 | |
Aetna
| Professional | $23.15 | $25.00 | $25.31 | |
CareSource
| Facility | $33.95 | $41.66 | $46.29 | |
CareSource
| Professional | $37.03 | $37.03 | $41.66 | |
Cigna
| Facility | $25.08 | $43.39 | $92.58 | |
Cigna
| Professional | $13.10 | $44.40 | $148.75 | |
Highmark BCBS
| Facility | $94.81 | $127.06 | $217.94 | |
United
| Professional | $12.96 | $15.43 | $45.24 |