| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $48.31 | $49.96 | $64.84 |
Aetna
| Professional | $110.20 | $111.73 | $316.61 | |
Cigna
| Professional | $85.07 | $127.08 | $208.09 | |
Highmark BCBS
| Professional | $200.80 | $200.80 | $200.80 | |
United
| Professional | $97.01 | $131.43 | $264.19 |