| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.28 | $47.00 | $3,140.00 | |
Aetna
| Professional | $18.22 | $21.94 | $23.40 | |
Cigna
| Professional | $18.29 | $27.93 | $38.61 | |
Highmark BCBS
| Facility | $77.54 | $77.54 | $77.54 | |
United
| Professional | $22.82 | $31.37 | $77.12 |