| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $21.38 | $22.31 | $25.04 | |
CareSource
| Facility | $2.97 | $20.83 | $29.67 | |
CareSource
| Professional | $2.60 | $22.43 | $29.93 | |
Cigna
| Facility | $25.90 | $25.90 | $45.67 | |
Cigna
| Professional | $25.90 | $26.77 | $34.00 | |
Highmark BCBS
| Professional | $25.48 | $25.48 | $25.48 | |
United
| Professional | $17.67 | $21.07 | $36.00 |