| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.80 | $36.00 | $42.30 | |
Aetna
| Professional | $3.54 | $3.82 | $3.87 | |
CareSource
| Facility | $4.72 | $6.37 | $7.79 | |
CareSource
| Professional | $4.72 | $5.90 | $6.37 | |
Cigna
| Facility | $3.84 | $9.01 | $14.17 | |
Cigna
| Professional | $2.68 | $7.23 | $27.05 | |
Highmark BCBS
| Facility | $18.61 | $28.16 | $87.70 | |
United
| Professional | $1.98 | $2.78 | $8.83 |