| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.39 | $105.30 | $547.20 | |
Aetna
| Professional | $10.79 | $11.79 | $18.92 | |
CareSource
| Facility | $14.38 | $19.41 | $23.73 | |
CareSource
| Professional | $14.38 | $17.98 | $19.41 | |
Cigna
| Facility | $11.69 | $32.29 | $43.15 | |
Cigna
| Professional | $8.17 | $20.65 | $91.81 | |
Highmark BCBS
| Facility | $43.39 | $60.78 | $258.04 | |
Highmark BCBS
| Professional | $15.25 | $15.25 | $15.25 | |
United
| Professional | $6.46 | $7.19 | $20.10 |