| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.14 | $75.14 | $75.14 | |
Aetna
| Professional | $43.78 | $43.78 | $54.23 | |
Cigna
| Facility | $42.47 | $42.47 | $42.47 | |
Cigna
| Professional | $81.48 | $81.48 | $81.48 | |
Highmark BCBS
| Facility | $64.17 | $110.62 | $305.63 | |
United
| Professional | $25.01 | $39.20 | $143.75 |