| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.83 | $29.83 | $29.83 | |
Aetna
| Professional | $16.80 | $33.15 | $34.79 | |
CareSource
| Facility | $54.08 | $64.90 | $81.12 | |
CareSource
| Professional | $37.86 | $64.90 | $125.38 | |
Cigna
| Facility | $36.21 | $36.21 | $63.37 | |
Cigna
| Professional | $26.43 | $36.21 | $260.67 | |
Highmark BCBS
| Professional | $38.50 | $41.13 | $42.25 | |
United
| Professional | $20.35 | $30.72 | $44.96 |