| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.95 | $92.69 | $126.00 | |
Aetna
| Professional | $62.28 | $62.28 | $64.53 | |
Cigna
| Professional | $55.64 | $84.09 | $116.84 | |
Highmark BCBS
| Professional | $141.93 | $141.93 | $141.93 | |
United
| Professional | $57.41 | $81.06 | $161.08 |