| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.84 | $28.84 | $28.84 | |
Aetna
| Professional | $22.91 | $33.88 | $42.66 | |
CareSource
| Facility | $35.48 | $53.70 | $75.86 | |
CareSource
| Professional | $53.70 | $64.57 | $87.10 | |
Cigna
| Facility | $36.31 | $87.10 | $87.10 | |
Cigna
| Professional | $26.30 | $26.30 | $263.03 | |
Highmark BCBS
| Professional | $38.02 | $40.74 | $43.65 | |
United
| Facility | $32.36 | $38.02 | $41.69 | |
United
| Professional | $21.88 | $32.36 | $44.67 |