| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.86 | $194.98 | $812.83 | |
Aetna
| Professional | $61.66 | $75.86 | $275.42 | |
Cigna
| Facility | $60.26 | $60.26 | $60.26 | |
Cigna
| Professional | $60.26 | $60.26 | $169.82 | |
Highmark BCBS
| Facility | $47.86 | $234.42 | $446.68 | |
United
| Professional | $38.90 | $60.26 | $199.53 |