| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.50 | $93.60 | $126.00 | |
Aetna
| Professional | $11.10 | $12.22 | $13.12 | |
CareSource
| Facility | $17.60 | $21.60 | $24.00 | |
CareSource
| Professional | $19.20 | $19.20 | $21.60 | |
Cigna
| Facility | $13.00 | $19.20 | $48.00 | |
Cigna
| Professional | $6.76 | $22.72 | $78.94 | |
Highmark BCBS
| Facility | $77.19 | $77.19 | $125.62 | |
United
| Professional | $6.46 | $7.20 | $21.71 |