| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.39 | $192.70 | $580.29 | |
Aetna
| Professional | $24.10 | $40.04 | $53.08 | |
CareSource
| Facility | $23.42 | $29.27 | $35.57 | |
CareSource
| Professional | $27.55 | $76.56 | $90.07 | |
Cigna
| Facility | $40.09 | $40.09 | $40.09 | |
Cigna
| Facility | AS | $4.01 | $4.01 | $4.01 |
Cigna
| Professional | $18.20 | $32.65 | $77.08 | |
Highmark BCBS
| Facility | $181.54 | $229.03 | $324.45 | |
United
| Professional | $29.03 | $41.47 | $57.98 |