| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $39.21 | $41.34 | $52.73 | |
CareSource
| Facility | $6.41 | $48.37 | $85.91 | |
CareSource
| Professional | $4.80 | $46.40 | $105.93 | |
Cigna
| Facility | $43.29 | $43.29 | $139.43 | |
Cigna
| Professional | $43.29 | $56.81 | $105.43 | |
Highmark BCBS
| Professional | $61.86 | $61.86 | $74.80 | |
United
| Professional | $39.88 | $58.63 | $120.72 |