| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.80 | $117.00 | $224.64 | |
Aetna
| Professional | $8.99 | $9.69 | $9.82 | |
CareSource
| Facility | $13.18 | $16.17 | $17.97 | |
CareSource
| Professional | $14.38 | $14.38 | $16.17 | |
Cigna
| Facility | $9.74 | $25.75 | $35.95 | |
Cigna
| Professional | $6.76 | $17.04 | $57.74 | |
Highmark BCBS
| Facility | $48.31 | $97.82 | $126.51 | |
United
| Professional | $5.39 | $6.75 | $21.71 |