| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $22.03 | $24.65 | $27.89 | |
CareSource
| Facility | $3.09 | $24.58 | $37.15 | |
CareSource
| Professional | $2.87 | $24.37 | $36.86 | |
Cigna
| Facility | $28.34 | $28.34 | $49.92 | |
Cigna
| Professional | $28.34 | $32.20 | $209.24 | |
Highmark BCBS
| Professional | $30.88 | $30.88 | $32.81 | |
United
| Professional | $20.09 | $24.58 | $41.79 |