| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.55 | $73.55 | $73.55 | |
Aetna
| Professional | $42.85 | $42.85 | $53.09 | |
Cigna
| Facility | $41.57 | $41.57 | $41.57 | |
Highmark BCBS
| Facility | $63.96 | $63.96 | $63.96 | |
United
| Professional | $26.86 | $63.96 | $140.71 |