| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $234.42 | $234.42 | $234.42 | |
Aetna
| Professional | $18.20 | $22.91 | $31.62 | |
CareSource
| Facility | $22.91 | $23.99 | $36.31 | |
CareSource
| Professional | $22.91 | $24.55 | $54.95 | |
Cigna
| Professional | $17.78 | $24.55 | $50.12 | |
Highmark BCBS
| Professional | $33.11 | $37.15 | $52.48 | |
United
| Professional | $16.98 | $21.88 | $38.90 |