| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.79 | $3.79 | $3.79 | |
Aetna
| Professional | $3.79 | $4.21 | $4.63 | |
CareSource
| Facility | $5.50 | $8.24 | $10.31 | |
CareSource
| Professional | $4.80 | $8.24 | $15.92 | |
Cigna
| Facility | $4.13 | $4.44 | $8.05 | |
Cigna
| Professional | $3.51 | $4.13 | $33.26 | |
Highmark BCBS
| Professional | $4.80 | $4.80 | $4.80 | |
United
| Professional | $2.50 | $3.43 | $5.72 |