| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $27.01 | $40.75 | $86.86 | |
CareSource
| Facility | $33.74 | $36.58 | $39.85 | |
CareSource
| Professional | $35.42 | $83.88 | $99.13 | |
Cigna
| Facility | $51.45 | $51.45 | $51.45 | |
Cigna
| Professional | $25.91 | $65.73 | $143.50 | |
Highmark BCBS
| Professional | $117.84 | $117.84 | $117.84 | |
United
| Professional | $54.26 | $70.83 | $118.16 |