| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $29.92 | $53.05 | $63.59 | |
CareSource
| Facility | $8.75 | $31.63 | $42.66 | |
CareSource
| Professional | $7.78 | $29.00 | $34.27 | |
Cigna
| Facility | $41.75 | $41.75 | $41.75 | |
Cigna
| Professional | $26.51 | $45.45 | $107.78 | |
Highmark BCBS
| Professional | $51.35 | $51.35 | $56.57 | |
United
| Professional | $39.04 | $53.62 | $114.25 |