| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4.62 | $4.62 | $4.62 | |
Aetna
| Professional | $4.62 | $5.13 | $5.66 | |
CareSource
| Facility | $5.45 | $10.48 | $14.67 | |
CareSource
| Professional | $5.45 | $5.87 | $10.06 | |
Cigna
| Facility | $5.03 | $5.33 | $9.82 | |
Cigna
| Professional | $4.28 | $5.03 | $40.54 | |
Highmark BCBS
| Professional | $5.87 | $5.87 | $5.87 | |
United
| Professional | $3.06 | $4.18 | $7.50 |