| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.94 | $35.02 | $68.00 | |
Aetna
| Professional | $30.13 | $32.54 | $32.94 | |
CareSource
| Facility | $44.19 | $54.23 | $60.26 | |
CareSource
| Professional | $48.20 | $48.20 | $54.23 | |
Cigna
| Facility | $32.64 | $56.04 | $120.50 | |
Cigna
| Professional | $5.92 | $57.82 | $193.62 | |
Highmark BCBS
| Facility | $19.22 | $19.22 | $19.22 | |
United
| Professional | $6.08 | $8.69 | $24.10 |