| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.10 | $93.87 | $194.40 | |
Aetna
| Professional | $7.75 | $9.31 | $13.58 | |
CareSource
| Facility | $10.33 | $13.95 | $17.04 | |
CareSource
| Professional | $10.33 | $12.91 | $13.95 | |
Cigna
| Facility | $8.39 | $17.39 | $30.97 | |
Cigna
| Professional | $5.92 | $14.97 | $58.75 | |
Highmark BCBS
| Facility | $25.44 | $54.35 | $132.91 | |
Highmark BCBS
| Professional | $10.33 | $14.15 | $15.72 | |
United
| Professional | $4.65 | $6.06 | $16.53 |