| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.03 | $54.41 | $71.88 | |
CareSource
| Facility | $74.43 | $98.50 | $110.81 | |
CareSource
| Professional | $74.50 | $90.29 | $190.29 | |
Cigna
| Facility | $80.37 | $80.37 | $80.37 | |
Cigna
| Professional | $29.80 | $29.80 | $29.80 | |
Highmark BCBS
| Professional | $46.95 | $46.95 | $52.17 | |
United
| Professional | $30.97 | $40.95 | $68.56 |