| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.41 | $13.69 | $18.05 | |
CareSource
| Professional | $17.48 | $19.23 | $40.53 | |
Cigna
| Professional | $15.19 | $80.01 | $114.99 | |
Highmark BCBS
| Professional | CQ | $19.27 | $19.27 | $19.27 |
United
| Professional | $15.26 | $21.12 | $38.86 |