| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.50 | $134.53 | $10,703.28 | |
Aetna
| Professional | $45.13 | $48.74 | $52.35 | |
Cigna
| Professional | $38.46 | $58.07 | $69.98 | |
Highmark BCBS
| Facility | $225.36 | $225.36 | $225.36 | |
United
| Professional | $45.48 | $59.05 | $113.50 |