| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $53.70 | $75.86 | $602.56 | |
Aetna
| Professional | $42.66 | $53.70 | $194.98 | |
Cigna
| Facility | $42.66 | $42.66 | $42.66 | |
Cigna
| Professional | $43.65 | $43.65 | $123.03 | |
Highmark BCBS
| Facility | $57.54 | $165.96 | $316.23 | |
United
| Professional | $27.54 | $42.66 | $144.54 |