| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.30 | $27.90 | $111.60 | |
Aetna
| Professional | $4.18 | $4.57 | $6.51 | |
CareSource
| Facility | $5.57 | $7.52 | $9.19 | |
CareSource
| Professional | $5.57 | $6.96 | $7.52 | |
Cigna
| Facility | $4.53 | $10.55 | $16.71 | |
Cigna
| Professional | $3.24 | $7.74 | $36.72 | |
Highmark BCBS
| Facility | $20.32 | $22.70 | $32.95 | |
United
| Professional | $2.50 | $3.34 | $8.91 |