| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.28 | $92.82 | $1,341.78 | |
Aetna
| Professional | $88.48 | $475.00 | $522.50 | |
Cigna
| Facility | $137.77 | $137.77 | $137.77 | |
Cigna
| Professional | $77.53 | $129.46 | $202.19 | |
Highmark BCBS
| Facility | $113.21 | $113.21 | $172.00 |