| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.67 | $34.67 | $39.81 | |
Aetna
| Professional | $19.95 | $41.69 | $52.48 | |
CareSource
| Facility | $19.95 | $23.44 | $32.36 | |
CareSource
| Professional | $19.50 | $20.89 | $46.77 | |
Cigna
| Facility | $33.88 | $33.88 | $33.88 | |
Cigna
| Professional | $21.38 | $42.66 | $107.15 | |
Highmark BCBS
| Professional | $19.50 | $19.50 | $39.81 | |
United
| Professional | $17.38 | $23.99 | $35.48 |