| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.72 | $93.33 | $173.78 | |
Aetna
| Professional | $7.94 | $10.23 | $21.38 | |
CareSource
| Facility | $13.18 | $16.98 | $20.89 | |
CareSource
| Professional | $8.13 | $15.14 | $16.98 | |
Cigna
| Facility | $10.47 | $19.95 | $38.02 | |
Cigna
| Professional | $5.89 | $32.36 | $60.26 | |
Highmark BCBS
| Facility | $32.36 | $83.18 | $263.03 | |
United
| Facility | $7.59 | $7.59 | $7.59 | |
United
| Professional | $4.47 | $6.31 | $12.59 |