| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.65 | $128.62 | $272.45 | |
Aetna
| Professional | $82.87 | $82.87 | $102.65 | |
Cigna
| Facility | $80.39 | $80.39 | $80.39 | |
Cigna
| Professional | $231.18 | $231.18 | $231.18 | |
Highmark BCBS
| Facility | $313.44 | $313.44 | $313.44 | |
United
| Professional | $55.66 | $101.24 | $272.10 |