| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.38 | $96.82 | $263.20 | |
Aetna
| Professional | $4.29 | $8.06 | $16.35 | |
CareSource
| Facility | $3.12 | $4.42 | $6.09 | |
CareSource
| Professional | $4.05 | $4.87 | $9.41 | |
Cigna
| Facility | $5.22 | $5.22 | $5.22 | |
Cigna
| Professional | $3.45 | $5.00 | $81.06 | |
Highmark BCBS
| Professional | $5.21 | $5.21 | $5.21 | |
United
| Professional | $3.58 | $6.01 | $8.73 |