| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.98 | $19.98 | $19.98 | |
Aetna
| Professional | $11.26 | $22.21 | $23.32 | |
CareSource
| Facility | $23.56 | $48.92 | $63.42 | |
CareSource
| Professional | $23.56 | $25.37 | $43.49 | |
Cigna
| Facility | $24.26 | $24.26 | $42.47 | |
Cigna
| Professional | $17.71 | $24.26 | $174.68 | |
Highmark BCBS
| Professional | $23.04 | $23.04 | $23.04 | |
United
| Professional | $13.64 | $19.38 | $30.13 |