| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $116.29 | $116.29 | $116.29 | |
Aetna
| Professional | $67.75 | $67.75 | $83.93 | |
Cigna
| Facility | $65.73 | $65.73 | $65.73 | |
Highmark BCBS
| Facility | $1,068.59 | $1,068.59 | $1,068.59 | |
United
| Professional | $42.47 | $60.67 | $222.46 |