| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $90.00 | $130.50 | $421.20 | |
Aetna
| Professional | $8.10 | $8.86 | $12.61 | |
CareSource
| Facility | $10.80 | $14.58 | $17.82 | |
CareSource
| Professional | $10.80 | $13.50 | $14.58 | |
Cigna
| Facility | $8.77 | $20.61 | $32.40 | |
Cigna
| Professional | $6.20 | $15.49 | $69.77 | |
Highmark BCBS
| Facility | $48.89 | $132.35 | $176.07 | |
Highmark BCBS
| Professional | $16.43 | $16.43 | $16.43 | |
United
| Professional | $3.60 | $4.86 | $12.11 |