| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.16 | $35.51 | $46.83 | |
Aetna
| Professional | $23.52 | $34.39 | $48.43 | |
CareSource
| Facility | $30.45 | $43.13 | $60.86 | |
CareSource
| Professional | $50.28 | $60.77 | $117.41 | |
Cigna
| Facility | $57.70 | $57.70 | $57.70 | |
Cigna
| Professional | $38.78 | $55.65 | $199.55 | |
Highmark BCBS
| Professional | $64.76 | $64.76 | $64.76 | |
United
| Professional | $35.93 | $49.54 | $77.38 |