| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.80 | $92.70 | $639.90 | |
Aetna
| Professional | $9.44 | $12.29 | $17.30 | |
CareSource
| Facility | $11.96 | $15.12 | $19.64 | |
CareSource
| Professional | $12.60 | $15.75 | $17.01 | |
Cigna
| Facility | $10.24 | $18.80 | $37.79 | |
Cigna
| Professional | $5.92 | $18.07 | $60.73 | |
Highmark BCBS
| Facility | $32.35 | $75.16 | $263.29 | |
United
| Professional | $4.51 | $6.28 | $13.09 |