| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.80 | $18.61 | $106.20 | |
Aetna
| Professional | $6.02 | $6.50 | $6.58 | |
CareSource
| Facility | $8.02 | $10.83 | $13.23 | |
CareSource
| Professional | $8.02 | $10.02 | $10.83 | |
Cigna
| Facility | $6.51 | $14.55 | $24.04 | |
Cigna
| Professional | $4.51 | $11.87 | $140.00 | |
Highmark BCBS
| Facility | $8.59 | $23.21 | $48.80 | |
United
| Professional | $3.61 | $4.80 | $12.83 |