| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.01 | $14.66 | $128.77 | |
Aetna
| Professional | $7.33 | $8.01 | $8.01 | |
CareSource
| Facility | $10.26 | $13.19 | $16.12 | |
CareSource
| Professional | $9.77 | $13.19 | $13.19 | |
Cigna
| Facility | $7.94 | $11.72 | $29.31 | |
Cigna
| Professional | $4.93 | $13.94 | $55.08 | |
Highmark BCBS
| Facility | $20.86 | $72.09 | $107.45 | |
United
| Professional | $4.40 | $5.35 | $17.20 |