| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.22 | $28.55 | $32.65 | |
CareSource
| Facility | $3.65 | $28.47 | $37.99 | |
CareSource
| Professional | $3.33 | $28.50 | $40.92 | |
Cigna
| Facility | $31.91 | $31.91 | $56.17 | |
Cigna
| Professional | $31.91 | $34.25 | $41.89 | |
Highmark BCBS
| Professional | $39.47 | $39.47 | $39.47 | |
United
| Professional | $20.54 | $27.52 | $43.94 |