| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.38 | $27.00 | $86.40 | |
Aetna
| Professional | $3.29 | $3.79 | $7.55 | |
CareSource
| Facility | $4.38 | $5.91 | $7.23 | |
CareSource
| Professional | $4.38 | $5.91 | $5.91 | |
Cigna
| Facility | $3.56 | $13.15 | $50.00 | |
Cigna
| Professional | $1.83 | $6.71 | $21.11 | |
Highmark BCBS
| Facility | $15.26 | $21.13 | $102.51 | |
United
| Professional | $2.63 | $2.85 | $6.41 |