| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $122.10 | $143.33 | $143.33 | |
Aetna
| Professional | $93.39 | $93.39 | $97.75 | |
Cigna
| Professional | $86.16 | $126.34 | $175.18 | |
Highmark BCBS
| Professional | $213.89 | $213.89 | $213.89 | |
United
| Professional | $82.75 | $122.08 | $243.96 |