| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.47 | $39.47 | $39.47 | |
Aetna
| Professional | $19.45 | $37.20 | $45.00 | |
CareSource
| Facility | $19.45 | $21.56 | $29.18 | |
CareSource
| Professional | $19.45 | $29.18 | $45.45 | |
Cigna
| Facility | $23.94 | $23.94 | $23.94 | |
Cigna
| Professional | $19.29 | $30.62 | $74.87 | |
Highmark BCBS
| Professional | $19.61 | $19.61 | $19.61 | |
United
| Professional | $17.52 | $22.64 | $37.74 |