| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $74.13 | $74.13 | $74.13 | |
Aetna
| Professional | $41.69 | $52.48 | $190.55 | |
Cigna
| Facility | $41.69 | $41.69 | $41.69 | |
Cigna
| Professional | $42.66 | $42.66 | $42.66 | |
Highmark BCBS
| Facility | $64.57 | $64.57 | $64.57 | |
United
| Professional | $26.92 | $38.02 | $141.25 |