| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.15 | $54.54 | $63.80 | |
CareSource
| Facility | $7.26 | $58.94 | $91.92 | |
CareSource
| Professional | $6.35 | $61.05 | $84.54 | |
Cigna
| Facility | $57.45 | $57.45 | $142.40 | |
Cigna
| Professional | $57.45 | $75.92 | $107.15 | |
Highmark BCBS
| Professional | $81.17 | $81.17 | $81.17 | |
United
| Professional | $48.24 | $62.89 | $104.81 |