| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.05 | $21.88 | $23.99 | |
CareSource
| Facility | $25.12 | $29.51 | $39.81 | |
CareSource
| Professional | $26.92 | $37.15 | $54.95 | |
Cigna
| Facility | $47.86 | $47.86 | $47.86 | |
Cigna
| Professional | $22.39 | $22.39 | $117.49 | |
Highmark BCBS
| Professional | $30.90 | $31.62 | $33.11 | |
United
| Professional | $13.18 | $18.20 | $38.02 |