| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.05 | $56.70 | $212.95 | |
Aetna
| Professional | $12.86 | $14.05 | $18.64 | |
CareSource
| Facility | $16.26 | $20.57 | $26.71 | |
CareSource
| Professional | $17.14 | $21.43 | $23.14 | |
Cigna
| Facility | $13.93 | $25.58 | $51.41 | |
Cigna
| Professional | $7.89 | $24.78 | $82.61 | |
Highmark BCBS
| Facility | $49.92 | $51.24 | $338.95 | |
United
| Professional | $6.02 | $8.38 | $17.46 |