| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7.93 | $7.93 | $7.93 | |
Aetna
| Professional | $7.93 | $8.89 | $9.72 | |
CareSource
| Facility | $15.83 | $21.59 | $25.18 | |
CareSource
| Professional | $9.35 | $17.27 | $33.36 | |
Cigna
| Facility | $16.86 | $16.86 | $16.86 | |
Cigna
| Professional | $7.34 | $7.34 | $69.75 | |
Highmark BCBS
| Facility | $73.13 | $73.13 | $73.13 | |
United
| Professional | $7.02 | $7.77 | $15.64 |