| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.28 | $30.00 | $34.89 | |
CareSource
| Facility | $3.99 | $31.64 | $42.17 | |
CareSource
| Professional | $3.49 | $32.42 | $45.42 | |
Cigna
| Facility | $33.36 | $33.36 | $65.34 | |
Cigna
| Professional | $33.36 | $33.36 | $41.85 | |
Highmark BCBS
| Professional | $43.81 | $43.81 | $43.81 | |
United
| Professional | $26.38 | $29.92 | $53.88 |