| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $66.07 | $66.07 | $77.62 |
Aetna
| Professional | $165.96 | $213.80 | $309.03 | |
Aetna
| Professional | 26 | $42.66 | $57.54 | $109.65 |
Cigna
| Professional | $131.83 | $199.53 | $416.87 | |
Cigna
| Professional | 26 | $42.66 | $57.54 | $107.15 |
Highmark BCBS
| Professional | 26 | $53.70 | $53.70 | $53.70 |
United
| Professional | $141.25 | $218.78 | $380.19 | |
United
| Professional | 26 | $38.90 | $60.26 | $102.33 |