| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.73 | $47.73 | $58.39 | |
Aetna
| Professional | $38.77 | $49.13 | $61.66 | |
CareSource
| Facility | $39.50 | $44.89 | $83.79 | |
CareSource
| Professional | $55.64 | $55.64 | $55.64 | |
Cigna
| Facility | $65.88 | $65.88 | $65.88 | |
Cigna
| Professional | $48.10 | $62.73 | $229.19 | |
Highmark BCBS
| Facility | $95.97 | $95.97 | $223.48 | |
United
| Professional | $50.31 | $93.81 | $146.26 |