| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $46.05 | $52.48 | $60.38 | |
CareSource
| Facility | $6.62 | $52.34 | $71.20 | |
CareSource
| Professional | $6.10 | $53.81 | $76.69 | |
Cigna
| Facility | $44.10 | $44.10 | $110.32 | |
Cigna
| Professional | $44.10 | $44.10 | $68.56 | |
Highmark BCBS
| Professional | $65.27 | $65.27 | $65.27 | |
United
| Professional | $38.49 | $51.58 | $82.33 |