| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.48 | $112.97 | $112.97 | |
Aetna
| Professional | $7.48 | $8.39 | $9.17 | |
CareSource
| Facility | $13.57 | $18.32 | $22.39 | |
CareSource
| Professional | $13.57 | $31.46 | $31.46 | |
Cigna
| Facility | $15.90 | $15.90 | $15.90 | |
Cigna
| Professional | $6.93 | $6.93 | $65.73 | |
Highmark BCBS
| Facility | $73.13 | $73.13 | $97.25 | |
United
| Professional | $6.62 | $7.33 | $14.76 |