| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.72 | $39.72 | $48.92 | |
Aetna
| Professional | $37.46 | $48.52 | $59.20 | |
CareSource
| Facility | $38.79 | $42.67 | $58.19 | |
CareSource
| Professional | $48.27 | $72.41 | $111.91 | |
Cigna
| Facility | $65.06 | $65.06 | $65.06 | |
Cigna
| Professional | $41.03 | $65.53 | $173.43 | |
Highmark BCBS
| Facility | $134.69 | $134.69 | $134.69 | |
United
| Professional | $39.90 | $59.17 | $82.48 |