| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $15.58 | $15.58 | $16.23 | |
Aetna
| Professional | $15.74 | $16.07 | $16.23 | |
CareSource
| Facility | $16.07 | $24.12 | $24.12 | |
Cigna
| Facility | $15.17 | $16.07 | $85.00 | |
Cigna
| Professional | $16.07 | $16.07 | $99.76 | |
Highmark BCBS
| Facility | $0.38 | $0.38 | $0.38 | |
United
| Professional | $16.07 | $16.07 | $72.48 |