| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.31 | $73.31 | $73.31 | |
Aetna
| Professional | $26.68 | $27.96 | $34.00 | |
CareSource
| Facility | $37.85 | $79.23 | $99.72 | |
CareSource
| Professional | $36.01 | $40.76 | $69.88 | |
Cigna
| Facility | $36.61 | $36.61 | $70.44 | |
Cigna
| Professional | $26.73 | $36.61 | $295.23 | |
Highmark BCBS
| Facility | $58.69 | $58.69 | $58.69 | |
Highmark BCBS
| Professional | $35.21 | $35.21 | $35.21 | |
United
| Professional | $24.53 | $27.64 | $43.62 |