| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.49 | $41.61 | $48.80 | |
CareSource
| Facility | $5.54 | $44.96 | $60.09 | |
CareSource
| Professional | $4.84 | $45.07 | $64.72 | |
Cigna
| Facility | $46.18 | $46.18 | $93.08 | |
Cigna
| Professional | $46.18 | $46.18 | $60.89 | |
Highmark BCBS
| Professional | $62.25 | $62.25 | $62.25 | |
United
| Professional | $36.89 | $41.59 | $80.59 |