| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.36 | $70.30 | $153.97 | |
Aetna
| Professional | $6.13 | $8.93 | $10.74 | |
CareSource
| Facility | $8.17 | $11.03 | $13.48 | |
CareSource
| Professional | $8.17 | $10.21 | $11.03 | |
Cigna
| Facility | $6.64 | $13.75 | $24.51 | |
Cigna
| Professional | $4.65 | $11.87 | $40.40 | |
Highmark BCBS
| Facility | $33.29 | $60.88 | $192.60 | |
Highmark BCBS
| Professional | $4.90 | $4.90 | $12.41 | |
United
| Professional | $3.68 | $5.01 | $11.42 |