| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.99 | $26.92 | $70.79 | |
Aetna
| Professional | $21.88 | $53.70 | $85.11 | |
CareSource
| Facility | $25.70 | $25.70 | $30.20 | |
CareSource
| Professional | $26.92 | $26.92 | $26.92 | |
Cigna
| Facility | $38.90 | $38.90 | $38.90 | |
Cigna
| Professional | $22.91 | $56.23 | $281.84 | |
Highmark BCBS
| Facility | $190.55 | $190.55 | $190.55 | |
United
| Professional | $20.42 | $45.71 | $114.82 |