| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.71 | $19.38 | $23.25 | |
Aetna
| Professional | $11.63 | $12.71 | $33.64 | |
CareSource
| Facility | $17.05 | $20.93 | $23.25 | |
CareSource
| Professional | $18.60 | $18.60 | $20.93 | |
Cigna
| Facility | $12.60 | $33.28 | $46.52 | |
Cigna
| Professional | $8.86 | $22.20 | $105.21 | |
Highmark BCBS
| Facility | $139.44 | $139.44 | $139.44 | |
United
| Professional | $9.30 | $13.58 | $30.55 |