| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.35 | $20.95 | $23.90 | |
CareSource
| Facility | $2.78 | $20.71 | $27.86 | |
CareSource
| Professional | $2.44 | $22.30 | $29.76 | |
Cigna
| Facility | $23.28 | $23.28 | $41.07 | |
Cigna
| Professional | $23.28 | $27.37 | $30.56 | |
Highmark BCBS
| Professional | $25.32 | $27.01 | $28.70 | |
United
| Professional | $14.93 | $20.34 | $31.93 |