| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $26.94 | $1,118.59 | $1,118.59 | |
Aetna
| Professional | $24.61 | $40.03 | $49.83 | |
CareSource
| Facility | $28.47 | $33.56 | $44.92 | |
CareSource
| Professional | $29.83 | $29.83 | $29.83 | |
Cigna
| Facility | $43.42 | $43.42 | $43.42 | |
Cigna
| Facility | AS | $4.34 | $4.34 | $4.34 |
Cigna
| Professional | $19.97 | $38.74 | $90.33 | |
Highmark BCBS
| Facility | $400.00 | $492.30 | $5,788.06 | |
United
| Professional | $31.10 | $46.10 | $62.19 |