| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.21 | $45.21 | $45.21 | |
Aetna
| Professional | $26.34 | $26.34 | $32.63 | |
Cigna
| Facility | $25.55 | $25.55 | $25.55 | |
Highmark BCBS
| Facility | $569.91 | $569.91 | $569.91 | |
United
| Professional | $16.51 | $23.59 | $86.48 |