| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $74.69 | $86.75 | $97.36 | |
CareSource
| Facility | $10.81 | $80.97 | $115.38 | |
CareSource
| Professional | $10.09 | $87.20 | $117.66 | |
Cigna
| Facility | $94.65 | $94.65 | $168.02 | |
Cigna
| Professional | $94.65 | $113.35 | $124.23 | |
Highmark BCBS
| Professional | $112.17 | $112.17 | $112.17 | |
United
| Professional | $67.70 | $86.53 | $137.93 |