| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.70 | $1.95 | $8.31 | |
Aetna
| Professional | $0.02 | $0.07 | $0.18 | |
CareSource
| Facility | $0.02 | $0.02 | $0.31 | |
CareSource
| Professional | $0.02 | $0.02 | $0.42 | |
Cigna
| Facility | $85.00 | $85.00 | $85.00 | |
Cigna
| Professional | $0.02 | $0.03 | $0.14 | |
Highmark BCBS
| Facility | $0.04 | $0.14 | $2.11 | |
United
| Professional | $0.02 | $5.15 | $5.15 |