| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.00 | $91.19 | $1,268.27 | |
Aetna
| Professional | $46.93 | $79.12 | $94.07 | |
Aetna
| Professional | 50 | $76.61 | $76.61 | $76.61 |
Cigna
| Professional | $55.25 | $89.04 | $157.21 | |
Highmark BCBS
| Professional | $90.34 | $90.34 | $90.34 | |
United
| Facility | $143.00 | $143.00 | $143.00 | |
United
| Professional | $74.15 | $113.45 | $200.49 |