| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.60 | $59.40 | $90.00 | |
Aetna
| Professional | $3.89 | $4.25 | $7.11 | |
CareSource
| Facility | $5.18 | $6.99 | $8.55 | |
CareSource
| Professional | $5.18 | $6.48 | $6.99 | |
Cigna
| Facility | $4.21 | $9.86 | $15.55 | |
Cigna
| Professional | $2.96 | $7.23 | $39.46 | |
Highmark BCBS
| Facility | $20.94 | $36.86 | $72.02 | |
United
| Professional | $2.33 | $3.11 | $8.28 |