| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.84 | $444.60 | $444.60 | |
Aetna
| Professional | $7.42 | $8.11 | $12.41 | |
CareSource
| Facility | $10.88 | $13.35 | $14.84 | |
CareSource
| Professional | $11.87 | $11.87 | $13.35 | |
Cigna
| Facility | $8.03 | $17.98 | $29.67 | |
Cigna
| Professional | $5.35 | $14.46 | $47.67 | |
Highmark BCBS
| Facility | $185.85 | $185.85 | $185.85 | |
United
| Professional | $4.15 | $5.78 | $18.59 |