| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.30 | $104.40 | $418.50 | |
Aetna
| Professional | $19.36 | $21.16 | $23.27 | |
CareSource
| Facility | $25.81 | $34.84 | $42.59 | |
CareSource
| Professional | $25.81 | $32.26 | $34.84 | |
Cigna
| Facility | $20.98 | $50.00 | $77.44 | |
Cigna
| Professional | $14.65 | $37.17 | $189.39 | |
Highmark BCBS
| Facility | $20.32 | $92.83 | $381.95 | |
United
| Professional | $11.61 | $15.49 | $41.30 |