| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.10 | $28.80 | $74.83 | |
Aetna
| Professional | $3.02 | $3.68 | $6.83 | |
CareSource
| Facility | $4.01 | $5.43 | $6.63 | |
CareSource
| Professional | $4.01 | $5.43 | $5.43 | |
Cigna
| Facility | $3.26 | $5.27 | $12.05 | |
Cigna
| Professional | $1.83 | $5.68 | $19.38 | |
Highmark BCBS
| Facility | $12.78 | $24.08 | $27.14 | |
United
| Professional | $2.41 | $2.78 | $6.25 |