| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.12 | $42.66 | $1,412.54 | |
Aetna
| Professional | $21.88 | $36.31 | $61.66 | |
CareSource
| Facility | $25.70 | $30.90 | $30.90 | |
CareSource
| Professional | $27.54 | $40.74 | $48.98 | |
Cigna
| Facility | $38.90 | $38.90 | $38.90 | |
Cigna
| Professional | $18.20 | $33.88 | $263.03 | |
Highmark BCBS
| Facility | $5,011.87 | $5,011.87 | $5,011.87 | |
United
| Facility | $457.09 | $457.09 | $457.09 | |
United
| Professional | $23.44 | $40.74 | $83.18 |