| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.79 | $165.54 | $263.91 | |
Aetna
| Professional | $27.74 | $28.05 | $42.62 | |
Cigna
| Facility | $137.77 | $137.77 | $137.77 | |
Cigna
| Professional | $22.90 | $30.13 | $56.65 | |
Highmark BCBS
| Facility | $207.09 | $207.09 | $207.09 | |
United
| Professional | $24.54 | $32.13 | $67.56 |