| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.95 | $29.95 | $30.81 | |
Aetna
| Professional | $27.01 | $31.92 | $73.08 | |
CareSource
| Facility | $28.98 | $33.33 | $47.14 | |
CareSource
| Professional | $30.10 | $47.54 | $69.79 | |
Cigna
| Facility | $41.14 | $41.14 | $41.14 | |
Cigna
| Professional | $28.57 | $28.57 | $143.44 | |
Highmark BCBS
| Professional | $35.08 | $51.02 | $52.23 | |
United
| Professional | $25.28 | $38.51 | $55.84 |