| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.10 | $114.52 | $297.98 | |
Aetna
| Professional | $11.10 | $15.65 | $15.65 | |
Cigna
| Facility | $8.69 | $8.69 | $8.69 | |
Cigna
| Professional | $12.43 | $15.28 | $33.86 | |
Highmark BCBS
| Facility | $86.10 | $108.29 | $113.69 | |
United
| Professional | $5.62 | $8.18 | $20.09 |