| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $101.24 | $111.36 | $111.36 |
Aetna
| Professional | 26 | $90.00 | $125.00 | $219.31 |
Cigna
| Facility | 26 | $115.69 | $115.69 | $115.69 |
Cigna
| Professional | 26 | $108.33 | $133.38 | $690.00 |
Highmark BCBS
| Professional | 26 | $218.42 | $218.42 | $264.99 |
United
| Professional | 26 | $67.16 | $100.43 | $189.50 |