| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.72 | $82.61 | $184.50 | |
Aetna
| Professional | $18.05 | $28.03 | $31.90 | |
CareSource
| Facility | $24.08 | $32.51 | $39.72 | |
CareSource
| Professional | $24.08 | $30.10 | $32.51 | |
Cigna
| Facility | $19.55 | $51.70 | $72.22 | |
Cigna
| Professional | $13.66 | $34.59 | $116.07 | |
Highmark BCBS
| Facility | $34.61 | $108.02 | $161.47 | |
Highmark BCBS
| Professional | $24.08 | $24.08 | $24.08 | |
United
| Professional | $10.11 | $14.33 | $49.47 |