| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.94 | $15.49 | $15.49 | |
Aetna
| Professional | $7.08 | $7.94 | $12.30 | |
CareSource
| Facility | $13.80 | $13.80 | $13.80 | |
CareSource
| Professional | $12.30 | $12.30 | $12.30 | |
Cigna
| Facility | $8.51 | $22.39 | $30.90 | |
Cigna
| Professional | $5.89 | $60.26 | $60.26 | |
Highmark BCBS
| Professional | $6.17 | $6.17 | $6.17 | |
United
| Facility | $6.17 | $6.17 | $6.17 | |
United
| Professional | $4.37 | $6.03 | $12.59 |