| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.00 | $78.30 | $408.60 | |
Aetna
| Professional | $4.20 | $4.59 | $7.69 | |
CareSource
| Facility | $5.60 | $7.56 | $9.24 | |
CareSource
| Professional | $5.60 | $7.00 | $7.56 | |
Cigna
| Facility | $4.55 | $10.50 | $16.80 | |
Cigna
| Professional | $3.10 | $7.74 | $36.72 | |
Highmark BCBS
| Facility | $21.32 | $55.98 | $161.03 | |
United
| Professional | $2.52 | $3.38 | $8.96 |