| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.59 | $21.20 | $85.49 | |
Aetna
| Professional | $10.60 | $11.45 | $19.39 | |
CareSource
| Facility | $14.13 | $19.07 | $23.31 | |
CareSource
| Professional | $14.13 | $17.66 | $19.07 | |
Cigna
| Facility | $11.48 | $42.37 | $50.00 | |
Cigna
| Professional | $6.76 | $20.65 | $78.94 | |
Highmark BCBS
| Facility | $48.54 | $48.54 | $48.54 | |
United
| Professional | $6.36 | $7.07 | $21.71 |