| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.95 | $5.26 | $48.30 | |
Aetna
| Professional | $4.80 | $9.07 | $63.71 | |
CareSource
| Facility | $5.64 | $6.77 | $8.46 | |
CareSource
| Professional | $51.68 | $79.70 | $117.08 | |
Cigna
| Facility | $7.57 | $7.57 | $7.57 | |
Cigna
| Professional | $42.91 | $50.59 | $50.59 | |
Highmark BCBS
| Professional | $4.68 | $4.72 | $7.72 | |
United
| Professional | $40.22 | $58.91 | $100.42 |