| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.48 | $85.48 | $85.48 | |
Aetna
| Professional | $49.80 | $49.80 | $61.69 | |
Cigna
| Facility | $48.31 | $48.31 | $48.31 | |
Cigna
| Professional | $135.96 | $135.96 | $135.96 | |
Highmark BCBS
| Facility | $100.00 | $100.00 | $347.68 | |
United
| Professional | $33.45 | $59.55 | $163.53 |