| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.83 | $4.83 | $4.83 | |
Aetna
| Professional | $4.83 | $5.36 | $5.91 | |
CareSource
| Facility | $5.69 | $10.95 | $15.33 | |
CareSource
| Professional | $5.69 | $6.13 | $10.51 | |
Cigna
| Facility | $5.26 | $5.57 | $10.26 | |
Cigna
| Professional | $4.47 | $5.26 | $42.37 | |
Highmark BCBS
| Facility | $41.04 | $41.04 | $41.04 | |
United
| Professional | $3.20 | $4.37 | $7.28 |