| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.86 | $19.86 | $19.86 | |
Aetna
| Professional | $13.64 | $14.33 | $14.33 | |
Cigna
| Professional | $8.69 | $19.82 | $24.78 | |
Highmark BCBS
| Facility | $115.49 | $115.49 | $115.49 | |
United
| Professional | $6.04 | $8.28 | $17.27 |