| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.54 | $57.54 | $57.54 | |
Aetna
| Professional | $47.86 | $63.10 | $75.86 | |
Cigna
| Facility | $107.15 | $107.15 | $107.15 | |
Cigna
| Professional | $302.00 | $302.00 | $302.00 | |
Highmark BCBS
| Facility | $17.78 | $17.78 | $17.78 | |
United
| Professional | $52.48 | $69.18 | $131.83 |