| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $42.30 | $46.53 | $92.40 | |
CareSource
| Professional | $25.09 | $34.74 | $48.76 | |
Cigna
| Professional | $43.23 | $68.98 | $229.31 | |
Highmark BCBS
| Professional | $58.66 | $58.66 | $58.66 | |
United
| Professional | $30.89 | $56.88 | $107.28 |