| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.39 | $165.66 | $5,196.16 | |
Aetna
| Professional | $31.76 | $47.93 | $64.45 | |
Cigna
| Professional | $43.15 | $61.61 | $87.59 | |
Highmark BCBS
| Facility | $455.08 | $455.08 | $455.08 | |
Highmark BCBS
| Professional | $41.88 | $41.88 | $41.88 | |
United
| Professional | $54.65 | $66.83 | $99.44 |