| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.43 | $21.43 | $130.34 | |
Aetna
| Professional | $18.55 | $19.48 | $22.74 | |
CareSource
| Facility | $22.96 | $47.68 | $61.81 | |
CareSource
| Professional | $22.96 | $24.72 | $42.38 | |
Cigna
| Facility | $12.60 | $21.22 | $41.39 | |
Cigna
| Professional | $12.60 | $21.22 | $162.53 | |
Highmark BCBS
| Facility | $369.32 | $369.32 | $369.32 | |
United
| Professional | $12.90 | $17.62 | $27.65 |