| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $49.47 | $54.68 | $63.67 | |
CareSource
| Facility | $7.27 | $57.87 | $77.16 | |
CareSource
| Professional | $6.36 | $59.09 | $83.09 | |
Cigna
| Facility | $64.23 | $64.23 | $106.56 | |
Cigna
| Professional | $64.23 | $71.44 | $446.62 | |
Highmark BCBS
| Professional | $90.39 | $90.39 | $98.97 | |
United
| Professional | $44.70 | $54.54 | $95.62 |