| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.69 | $43.65 | $48.98 | |
Aetna
| Professional | $41.69 | $48.98 | $60.26 | |
CareSource
| Facility | $48.98 | $74.13 | $74.13 | |
CareSource
| Professional | $114.82 | $114.82 | $114.82 | |
Cigna
| Facility | $48.98 | $48.98 | $61.66 | |
Cigna
| Professional | $48.98 | $234.42 | $234.42 | |
Highmark BCBS
| Facility | $13.18 | $22.91 | $37.15 | |
United
| Facility | $44.67 | $44.67 | $44.67 | |
United
| Professional | $43.65 | $52.48 | $54.95 |