| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.96 | $10.96 | $10.96 | |
CareSource
| Facility | $12.02 | $12.02 | $14.45 | |
Cigna
| Facility | $18.20 | $18.20 | $18.20 | |
Highmark BCBS
| Facility | $645.65 | $645.65 | $1,445.44 | |
United
| Facility | $1,513.56 | $1,513.56 | $1,513.56 |