| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.60 | $88.20 | $164.70 | |
Aetna
| Professional | $7.08 | $7.74 | $12.41 | |
CareSource
| Facility | $9.44 | $12.74 | $15.58 | |
CareSource
| Professional | $9.44 | $11.80 | $12.74 | |
Cigna
| Facility | $7.68 | $19.41 | $28.34 | |
Cigna
| Professional | $5.35 | $13.42 | $58.75 | |
Highmark BCBS
| Facility | $38.49 | $56.40 | $167.34 | |
Highmark BCBS
| Professional | $5.66 | $5.66 | $5.66 | |
United
| Professional | $3.96 | $5.66 | $18.59 |