| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.45 | $58.50 | $90.90 | |
Aetna
| Professional | $2.38 | $3.68 | $7.12 | |
CareSource
| Facility | $3.17 | $4.28 | $5.23 | |
CareSource
| Professional | $3.17 | $4.28 | $4.28 | |
Cigna
| Facility | $2.58 | $5.29 | $9.51 | |
Cigna
| Professional | $1.83 | $4.65 | $18.36 | |
Highmark BCBS
| Facility | $11.78 | $17.68 | $73.18 | |
Highmark BCBS
| Professional | $3.17 | $3.17 | $5.61 | |
United
| Professional | $1.90 | $2.78 | $6.25 |