| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.84 | $118.98 | $443.44 | |
Aetna
| Professional | $72.68 | $100.57 | $165.91 | |
Cigna
| Facility | $88.36 | $88.36 | $88.36 | |
Cigna
| Professional | $81.05 | $113.57 | $175.68 | |
Highmark BCBS
| Facility | $482.00 | $482.00 | $494.00 | |
Highmark BCBS
| Professional | $78.75 | $78.75 | $78.75 | |
United
| Facility | $143.00 | $143.00 | $143.00 | |
United
| Professional | $95.12 | $120.90 | $246.18 |