| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.92 | $30.92 | $30.92 | |
Aetna
| Professional | $28.82 | $29.59 | $32.92 | |
CareSource
| Facility | $40.07 | $80.78 | $104.72 | |
CareSource
| Professional | $38.90 | $43.15 | $73.97 | |
Cigna
| Facility | $34.22 | $36.71 | $72.23 | |
Cigna
| Professional | $24.98 | $34.22 | $294.02 | |
Highmark BCBS
| Professional | $40.42 | $40.42 | $40.42 | |
United
| Professional | $22.90 | $30.34 | $49.76 |