| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.41 | $24.41 | $276.70 | |
Aetna
| Professional | $22.21 | $25.47 | $43.90 | |
CareSource
| Facility | $22.42 | $24.75 | $33.63 | |
CareSource
| Professional | $22.42 | $28.90 | $52.17 | |
Cigna
| Facility | $38.22 | $38.22 | $38.22 | |
Cigna
| Professional | $22.08 | $34.43 | $85.69 | |
Highmark BCBS
| Professional | $30.18 | $30.18 | $30.18 | |
United
| Professional | $19.68 | $27.75 | $42.06 |