| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.82 | $39.29 | $45.24 | |
CareSource
| Facility | $5.22 | $40.08 | $53.46 | |
CareSource
| Professional | $4.57 | $42.45 | $57.57 | |
Cigna
| Facility | $42.49 | $42.49 | $76.09 | |
Cigna
| Professional | $42.49 | $51.33 | $55.77 | |
Highmark BCBS
| Professional | $55.53 | $55.53 | $55.53 | |
United
| Professional | $28.89 | $39.19 | $61.79 |