| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3.06 | $3.15 | $303.81 | |
Aetna
| Professional | $2.88 | $2.99 | $3.06 | |
CareSource
| Facility | $3.23 | $3.23 | $3.23 | |
CareSource
| Professional | $1.40 | $1.40 | $1.40 | |
Cigna
| Facility | $3.06 | $85.00 | $85.00 | |
Cigna
| Professional | $3.06 | $3.06 | $3.06 | |
Highmark BCBS
| Facility | $143.32 | $143.32 | $143.32 | |
United
| Professional | $3.00 | $3.00 | $59.05 |