| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.72 | $117.49 | $223.87 | |
Aetna
| Professional | $7.94 | $8.91 | $14.13 | |
CareSource
| Facility | $16.22 | $16.22 | $16.22 | |
CareSource
| Professional | $14.45 | $14.45 | $14.45 | |
Cigna
| Facility | $10.00 | $25.70 | $36.31 | |
Cigna
| Professional | $6.76 | $57.54 | $57.54 | |
Highmark BCBS
| Facility | $47.86 | $97.72 | $125.89 | |
United
| Facility | $7.24 | $7.24 | $7.24 | |
United
| Professional | $5.01 | $6.46 | $16.22 |