| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.20 | $50.20 | $50.20 | |
Aetna
| Professional | $29.25 | $29.25 | $36.22 | |
Cigna
| Facility | $28.37 | $28.37 | $28.37 | |
Cigna
| Professional | $81.48 | $81.48 | $81.48 | |
Highmark BCBS
| Facility | $98.22 | $98.22 | $98.22 | |
United
| Professional | $18.32 | $35.72 | $96.03 |