| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $17.66 | $20.07 | $22.19 | |
CareSource
| Facility | $2.39 | $17.75 | $26.70 | |
CareSource
| Professional | $2.34 | $19.12 | $25.46 | |
Cigna
| Facility | $22.28 | $22.28 | $39.26 | |
Cigna
| Professional | $22.28 | $24.09 | $29.25 | |
Highmark BCBS
| Professional | $24.57 | $24.57 | $24.57 | |
United
| Professional | $14.83 | $20.21 | $30.25 |