| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.96 | $16.60 | $19.95 | |
Aetna
| Professional | $7.94 | $10.00 | $15.49 | |
CareSource
| Facility | $18.20 | $18.20 | $18.20 | |
CareSource
| Professional | $16.22 | $16.22 | $16.22 | |
Cigna
| Facility | $11.22 | $39.81 | $50.12 | |
Cigna
| Professional | $6.76 | $81.28 | $81.28 | |
Highmark BCBS
| Facility | $199.53 | $199.53 | $199.53 | |
United
| Facility | $8.13 | $8.13 | $8.13 | |
United
| Professional | $5.62 | $6.76 | $16.22 |