| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $53.96 | $61.77 | $76.26 | |
CareSource
| Facility | $95.09 | $104.51 | $124.04 | |
CareSource
| Professional | $87.09 | $100.93 | $201.92 | |
Cigna
| Facility | $99.82 | $99.82 | $99.82 | |
Cigna
| Professional | $37.00 | $37.00 | $37.00 | |
Highmark BCBS
| Professional | $60.96 | $60.96 | $60.96 | |
United
| Professional | $38.45 | $43.45 | $82.69 |