| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.54 | $55.80 | $128.41 | |
Aetna
| Professional | $10.37 | $11.19 | $11.33 | |
CareSource
| Facility | $13.82 | $18.66 | $22.80 | |
CareSource
| Professional | $13.82 | $17.28 | $18.66 | |
Cigna
| Facility | $11.23 | $25.75 | $41.44 | |
Cigna
| Professional | $6.76 | $20.13 | $78.94 | |
Highmark BCBS
| Facility | $32.71 | $58.00 | $121.40 | |
Highmark BCBS
| Professional | $20.26 | $20.26 | $20.26 | |
United
| Professional | $5.80 | $6.91 | $21.71 |