| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5.39 | $345.97 | $730.82 | |
Aetna
| Professional | $4.86 | $4.90 | $6.67 | |
CareSource
| Facility | $4.86 | $7.29 | $7.29 | |
Cigna
| Facility | $4.58 | $4.86 | $85.00 | |
Cigna
| Professional | $4.86 | $4.86 | $13.06 | |
Highmark BCBS
| Facility | $25.24 | $25.24 | $30.85 | |
Highmark BCBS
| Professional | $5.48 | $5.48 | $5.48 | |
United
| Professional | $4.86 | $4.86 | $12.99 |