| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.95 | $100.86 | $130.50 | |
Aetna
| Professional | $8.99 | $9.82 | $10.84 | |
CareSource
| Facility | $11.98 | $16.17 | $19.77 | |
CareSource
| Professional | $11.98 | $14.98 | $16.17 | |
Cigna
| Facility | $9.74 | $25.75 | $35.95 | |
Cigna
| Professional | $6.76 | $17.04 | $78.94 | |
Highmark BCBS
| Facility | $39.21 | $71.48 | $147.47 | |
United
| Facility | $5.03 | $5.03 | $5.03 | |
United
| Professional | $5.39 | $6.75 | $19.17 |