| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.91 | $8.91 | $16.98 | |
Aetna
| Professional | $8.91 | $18.20 | $30.90 | |
CareSource
| Facility | $9.55 | $11.75 | $12.30 | |
CareSource
| Professional | $10.47 | $22.39 | $26.92 | |
Cigna
| Facility | $7.24 | $15.49 | $27.54 | |
Cigna
| Professional | $10.00 | $22.39 | $154.88 | |
Highmark BCBS
| Facility | $199.53 | $199.53 | $199.53 | |
United
| Professional | $7.94 | $14.79 | $28.18 |