| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.81 | $51.30 | $234.24 | |
Aetna
| Professional | $15.61 | $17.05 | $27.39 | |
CareSource
| Facility | $20.81 | $28.09 | $34.34 | |
CareSource
| Professional | $20.81 | $26.01 | $28.09 | |
Cigna
| Facility | $16.91 | $49.61 | $62.44 | |
Cigna
| Professional | $11.83 | $29.94 | $100.30 | |
Highmark BCBS
| Facility | $33.38 | $42.18 | $248.17 | |
Highmark BCBS
| Professional | $35.15 | $35.15 | $35.15 | |
United
| Professional | $9.36 | $12.49 | $33.29 |