| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.12 | $34.67 | $46.77 | |
CareSource
| Facility | $54.95 | $54.95 | $54.95 | |
CareSource
| Professional | $48.98 | $48.98 | $48.98 | |
Cigna
| Professional | $19.50 | $19.50 | $223.87 | |
Highmark BCBS
| Professional | $38.02 | $38.02 | $38.02 | |
United
| Professional | $20.42 | $26.92 | $34.67 |