| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.30 | $60.30 | $68.40 | |
Aetna
| Professional | $10.84 | $12.61 | $13.78 | |
CareSource
| Facility | $16.80 | $22.69 | $27.74 | |
CareSource
| Professional | $16.80 | $21.01 | $22.69 | |
Cigna
| Facility | $13.66 | $50.00 | $50.44 | |
Cigna
| Professional | $6.76 | $24.26 | $81.02 | |
Highmark BCBS
| Facility | $48.25 | $50.42 | $241.03 | |
United
| Professional | $6.46 | $7.56 | $21.71 |