| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.92 | $46.77 | $93.33 | |
CareSource
| Facility | $33.88 | $33.88 | $39.81 | |
CareSource
| Professional | $35.48 | $35.48 | $35.48 | |
Cigna
| Professional | $25.70 | $66.07 | $269.15 | |
Highmark BCBS
| Professional | $117.49 | $117.49 | $117.49 | |
United
| Professional | $25.70 | $57.54 | $91.20 |