| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.02 | $0.02 | $9.42 | |
Aetna
| Professional | $0.02 | $0.02 | $0.02 | |
CareSource
| Facility | $0.28 | $0.28 | $0.42 | |
CareSource
| Professional | $0.28 | $0.36 | $0.68 | |
Cigna
| Facility | $0.02 | $85.00 | $85.00 | |
Cigna
| Professional | $0.02 | $0.02 | $0.02 | |
Highmark BCBS
| Facility | $10.64 | $10.64 | $24.72 | |
United
| Professional | $0.02 | $0.02 | $1.49 |