| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.47 | $39.47 | $41.36 | |
Aetna
| Professional | $46.06 | $49.50 | $56.92 | |
CareSource
| Facility | $49.50 | $49.50 | $74.25 | |
CareSource
| Professional | $114.77 | $114.77 | $114.77 | |
Cigna
| Facility | $48.76 | $48.76 | $70.00 | |
Cigna
| Professional | $48.76 | $48.76 | $49.26 | |
Highmark BCBS
| Facility | $13.10 | $34.61 | $36.85 | |
United
| Professional | $43.54 | $52.10 | $55.59 |